High brachial arterial cannulation is safe for cardiac surgery

A 70-year-old male patient was operated for severe mitral insufficiency, aortic valve stenosis, ascending aorta aneurysm, and coronary artery disease. Upper brachial arterial cannulation was performed to establish cardiopulmonary bypass. Aortic and mitral valves replaced with prosthetic mechanical valves and a 30-mm synthetic graft was interposed to the ascending aorta. Finally, five distal anastomoses were performed for multivessel coronary artery disease over a total 118-min cross-clamp time. After an uneventful recovery, the patient was discharged in the postoperative sixth day without any complication. In conclusion, we believe that high brachial arterial cannulation to establish antegrade selective cerebral perfusion seems to be a safe alternative method.