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Coronary-coronary bypass - Using vein graft on a beating heart in a patient with porcelain aorta
(Texas Heart Inst, 2002) Erdil, N; Ates, S; Demirkilic, U; Tatar, H; Sag, C
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.