Innominate artery-coronary artery bypass graft in a patient with calcific aortitis.
Calcification of the ascending thoracic aorta may make aortic cross-clamping dangerous and aorta-coronary artery bypass grafting impossible. A patient with a severely calcified ascending aorta owing to syphilitic aortitis presented such a problem. Sequential saphenous vein grafting was done to three coronary arteries, the proximal anastomosis being made to the noncalcified innominate artery. This technique may offer a practical solution to this problem.
D000368:Aged; D001018:Aortic Diseases / Q000601:surgery; D016122:Brachiocephalic Trunk / Q000601:surgery*; D002114:Calcinosis / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D012501:Saphenous Vein / Q000637:transplantation; D013589:Syphilis, Cardiovascular / Q000601:surgery*; D014182:Transplantation, Autologous