A New Arterial Cannulation Technique: Arterial Cannulation through Aortic Anastomosis ("Kaplan" Technique).

We performed Bentall procedure on a 65-year-old male patient. Cardiopulmonary bypass was initiated via cannulation of the aneurysmatic segment of the aorta. Distal anastomosis was performed with the open technique under deep hypothermic circulatory arrest at 18 degrees C. We performed arterial recannulation through the anastomosis with a new technique, and cardiopulmonary bypass was reestablished. Cardiopulmonary bypass was terminated after rewarming and de-airing phases, and decannulation was performed without any problems. By this technique, the patient had no additional incisions for arterial cannulation, and there were no additional cannulation sutures left on the patient's arterial tree or the valved conduit.