Erdil N.Ates S.Demirkilic U.Tatar H.Sag C.2024-08-042024-08-0420020730-2347https://hdl.handle.net/11616/90688There 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 run-off Coronary-coronary bypass on a beating heart without cardiopulmonary bypass can be performed safely in a patient with porcelain aorta.eninfo:eu-repo/semantics/closedAccessAortic diseases/complicationsAtherosclerosisCalcinosis/ complicationsCerebrovascular disorders/prevention & controlCoronary artery bypass/methodsEmbolism/prevention & controlArticle2915455119958532-s2.0-0036241603Q3