[Evaluation of calcified ascending aorta by thoracic computed tomography and technical pitfall for coronary artery bypass grafting].
The cumulative 94 coronary bypass patients were evaluated on calcification of the ascending aorta preoperatively by computed tomography (CT). CT demonstrated the calcification of the ascending aorta in 12 patients (12.8%). In these patients with severely calcified ascending aorta, we performed femoral cannulation (6 cases), distal anastomosis without aortic cross clamp (2 cases), proximal anastomosis through single aortic cross clamp (3 cases) and non proximal anastomosis to use arterial conduits (3 cases). In this series, we did not have any embolic episode. The thoracic computed tomography is effective for evaluation of calcified ascending aorta and in this situation, operative modifications are necessary for obviation of stroke.
Takasawa
K
K
Toranomon Hospital, Cardiovascular Center.
Fuse
K
K
Konishi
T
T
Watanabe
Y
Y
D000368:Aged; D001011:Aorta / Q000473:pathology*; D002114:Calcinosis / Q000000981:diagnostic imaging*; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed