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, cilt.29, ss.54-55, 2002 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 29 Konu: 1
  • Basım Tarihi: 2002
  • Sayfa Sayıları: ss.54-55


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.