1. Distal Aortic Perfusion During Aortic Arch Reconstruction: Another Tool for the Aortic Surgeon 
Charles T. Klodell, MD, Philip J. Hess, MD, Thomas M. Beaver, MD, Dale Clark, CCP, Tomas D. Martin, MD 
The Annals of Thoracic Surgery 
Volume 78, Issue 6, Pages (December 2004)
DOI: /j.athoracsur

2. Fig 1
If epiaortic ultrasound demonstrates a favorable site, the aneurysm is cannulated directly. The arrow demonstrates the direction of blood flow in the aortic cannula. The tube surrounding the arrow represents the aortic cannula placed directly into the aorta.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

3. Fig 2
The ADIC balloon tipped cannula is placed through the Dacron graft and inflated in the proximal descending aorta.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

4. Fig 3
Anastomosis to the descending aorta is constructed while distal perfusion is maintained.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

5. Fig 4
The innominate, carotid, and subclavian vessels are implanted as an island patch to the Dacron graft while distal perfusion is maintained.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )