title: Coronary revascularization in the presence of ascending aortic calcification: use of an internal mammary artery-saphenous vein composite graft.
abstract: Complications arising from manipulation of the diseased ascending aorta constitute a significant portion of the morbidity and mortality of coronary revascularization. A case is described in which coronary revascularization was achieved by extension of the left internal mammary artery with a segment of reversed saphenous vein. The major advantage of this technique is that it obviates any instrumentation of the aorta or great vessels.
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000601:surgery*; D001018:Aortic Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002114:Calcinosis / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D009204:Myocardial Revascularization / Q000379:methods*; D012501:Saphenous Vein / Q000637:transplantation