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Safe Innominate Artery Cannulation for Cardiopulmonary Bypass in Neonates

Royal Liverpool Children’s NHS Trust, Alder Hey, Liverpool, United Kingdom

For reprint information contact: Antonio F Corno, MD Tel: 44 151 252 5713 Fax: 44 151 252 5643 Email: Antonio.Corno{at}rlc.nhs.uk, Cardiac Unit, Royal Liverpool Children’s NHS Trust, Alder Hey, Eaton Road, Liverpool L12 2AP, United Kingdom.

To reduce the neurological complications of deep hypothermic circulatory arrest, continuous cerebral perfusion was introduced, either by direct innominate artery cannulation or by a tubular prosthesis. This second option, used in our clinical experience, has been extended to applications other than aortic arch reconstruction, to facilitate cardiopulmonary bypass in small neonates (< 3.0 kg) with complex congenital heart defects, and to facilitate postoperative extracorporeal membrane oxygenation.