Erdil, NAtes, SDemirkilic, UTatar, HSag, C2024-08-042024-08-0420020730-2347https://hdl.handle.net/11616/102704There 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.eninfo:eu-repo/semantics/closedAccessaortic diseases/complicationsatherosclerosiscalcinosis/complicationscerebrovascular disorders/prevention & controlcoronary artery bypass/methodsembolism/prevention & controlArticle291545511995853WOS:000174881600014Q4