Abstract
Aortic cannulation requires special care, especially in a neonate. In general, we use only one purse-string suture, employing a one-needle technique (Fig. 1.1) or a two-needle technique (Fig. 1.2). The site is just below the takeoff of the common brachiocephalic artery. The sutures are placed through the adventitia and into—but not through—the media. Transaortic sutures are avoided, to prevent bleeding. If unwanted transaortic suture placement results in bleeding, the surgeon must assess its extent and magnitude. A transaortic suture often (but not always) must be removed and replaced to prevent ongoing bleeding during the procedure.
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© 2015 Springer-Verlag London
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Mavroudis, C. (2015). Cannulation Techniques. In: Mavroudis, C., Backer, C. (eds) Atlas of Pediatric Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-5319-1_1
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DOI: https://doi.org/10.1007/978-1-4471-5319-1_1
Publisher Name: Springer, London
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