Coronary-coronary bypass - Using vein graft on a beating heart in a patient with porcelain aorta

Erdil N., Ates S., Demirkilic U., Tatar H., Sag C.

TEXAS HEART INSTITUTE JOURNAL, vol.29, no.1, pp.54-55, 2002 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 1
  • Publication Date: 2002
  • Journal Name: TEXAS HEART INSTITUTE JOURNAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.54-55
  • Keywords: aortic diseases/complications, atherosclerosis, calcinosis/complications, cerebrovascular disorders/prevention & control, coronary artery bypass/methods, embolism/prevention & control, MANAGEMENT
  • Inonu University Affiliated: Yes

Abstract

There is increased risk of systemic embolism during cardiopulmonary bypass in patients with a severely atherosclerotic ascending aorta. We report a coronary-coronary bypass in a 74-year-old man with a porcelain aorta. He underwent a proximal right coronary-distal right coronary artery bypass with a saphenous vein graft, combined with a pedicled arterial graft (left internal mammary artery) to the left anterior descending artery, in the presence of a beating heart without cardiopulmonary bypass. The patient survived without evidence of perioperative myocardial infarction or cerebrovascular accident. One year later follow-up angiography showed graft patency with good distal runoff Coronary-coronary bypass on a beating heart without cardiopulmonary bypass can be performed safely in a patient with porcelain aorta.