Calcified ascending aorta and coronary artery disease.
An elderly woman with severe coronary artery disease and calcified ascending and transverse aorta had a left internal thoracic artery graft to the first marginal branch of the circumflex artery and a right internal thoracic artery graft to the left anterior descending artery. It was performed using the "no-touch" technique to the ascending and transverse aorta, cardiopulmonary bypass with an arterial inflow to the left common femoral artery, a beating, warm, and vented heart, and bradycardia induced by a short-acting beta 1-blocker. The latter two were used to decrease myocardial oxygen consumption and facilitate construction of the internal thoracic artery to coronary artery anastomoses.
Olearchyk
A S
AS
Section of Cardiothoracic Surgery, Episcopal Hospital, Philadelphia, Pennsylvania.
D000368:Aged; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D001161:Arteriosclerosis / Q000150:complications / Q000601:surgery*; D002114:Calcinosis / Q000150:complications / Q000601:surgery*; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans