Management of porcelain aorta and calcified great vessels in coronary artery bypass grafting with off-pump and no-touch technology.
A 69-year-old woman presented with postinfarct unstable angina and decreased ventricular function secondary to significant left main coronary artery stenosis in combination with total right coronary artery occlusion. We did successful off-pump coronary revascularization in this patient with severely calcified ascending aorta and great vessels, subtotal aortobiiliac stenoses, a history of previous stroke, and right carotid endarterectomy.
Bittner
H B
HB
Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis 55455, USA. bittn006@tc.umn.edu
Savitt
M A
MA
D000368:Aged; D001011:Aorta / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001161:Arteriosclerosis / Q000000981:diagnostic imaging / Q000601:surgery*; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D017536:Carotid Artery, Common / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation