title: Coronary-pulmonary arteriovenous fistula used as proximal anastomotic site for saphenous vein grafts in patient with porcelain aorta.
abstract: Coronary artery bypass grafting in patients with porcelain aorta and calcified great vessels is associated with a high risk of systemic embolism. Various techniques have been suggested to minimize that risk. We describe the case of a patient with left main coronary disease and a severely calcified ascending aorta, who could not undergo cardiopulmonary bypass. To the best of our knowledge, this is the 1st reported use of a congenital coronary-pulmonary arteriovenous fistula as a proximal anastomotic site for saphenous vein grafts, to achieve optimal revascularization in a patient with porcelain aorta.
authors.affiliation: Department of Cardiovascular Medicine, National Heart Centre, Singapore.
authors.forename: Aaron S L
authors.initials: AS
authors.lastname: Wong
authors.forename: Yeow-Leng
authors.initials: YL
authors.lastname: Chua
authors.forename: Charles N S
authors.initials: CN
authors.lastname: Chan
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001011:Aorta / Q000473:pathology*; D001164:Arteriovenous Fistula; D002114:Calcinosis / Q000150:complications; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation