Cardiac reoperation by Carpentier bicaval femoral venous cannula: GATA experience Erkan Kuralay, MD, Cengiz Bolcal, MD, Faruk Cingoz, MD, Celalettin Günay,

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Cardiac reoperation by Carpentier bicaval femoral venous cannula: GATA experience Erkan Kuralay, MD, Cengiz Bolcal, MD, Faruk Cingoz, MD, Celalettin Günay, MD, Vedat Yildirim, MD, Selim Kilic, MD, Ertugrul Özal, MD, Ufuk Demirkilic, MD, Mehmet Arslan, MD, Harun Tatar, MD The Annals of Thoracic Surgery Volume 77, Issue 3, Pages 977-981 (March 2004) DOI: 10.1016/j.athoracsur.2003.09.064

Fig 1 Cannulation of femoral vessels. A Carpentier bicaval venous cannula is advanced into the superior vena cava. If tricuspid and right atrial procedures were planned, both cava-atrial junctions can be taped without any disturbance of venous drainage. The femoral artery is cannulated with a long arterial cannula. First, a guidewire is advanced into the femoral and iliac artery. If the guidewire is placed without difficulty, then the arterial cannula and its obturator are slipped over the guidewire into the arterial system. The risk of retrograde dissection can be eliminated with this cannula insertion technique. The Annals of Thoracic Surgery 2004 77, 977-981DOI: (10.1016/j.athoracsur.2003.09.064)