Bilateral Cerebral Perfusion via Right Axillary Artery Cannulation Alone in Aortic Arch Surgery

Several methods have been proposed to avoid cerebral damage during
aortic arch surgery. Antegrade, bilateral, selective cerebral perfusion
is probably the most efficient one, although it has some drawbacks, such
as air or particulate embolism risk, limitation in operative field
visibility, and interactions with surgical maneuvers. We describe a
surgical technique that provides bilateral antegrade perfusion to the
brain, via the right axillary artery, with no need of additional
arterial lines or shunting devices.