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Described here is a technique of right atrial cannulation to establish cardiopulmonary bypass for repairing descending thoracic/aortic arch aneurysms via left thoracotomy. This technique provides satisfactory venous return and can be used for retrograde cerebral perfusion during aortic surgery. The technique is safe and has been extensively used by the authors.

Cannulation of the right atrium via left thoracotomy