Off-pump axillo-coronary artery bypass grafting with porcelain aorta.
Coronary artery bypass grafting (CABG) in patients with severely diseased ascending aorta has been associated with high risk for cerebral vascular accidents due to atheromatous embolism. In this situation, aortic no-touch techniques are widely employed as most important surgical strategy to prevent these complications. A case of 75-year-old man with effort angina associated with porcelain ascending aorta was reported here. He successfully underwent off-pump axillo-coronary bypass grafting with saphenous vein graft and has remained uneventful during his follow-up period. The off-pump axillo-coronary artery bypass grafting seemed to be an appropriate procedure for coronary revascularization with severely diseased ascending aorta.
Matsuda
Naruto
N
Department of Cardiovascular Surgery, Tottori University Hospital, Tottori, Japan. amc-matsuda@clubaa.com
Kamihira
Satoshi
S
Kanaoka
Yasushi
Y
Ishiguro
Shingo
S
Ohgi
Shigetsugu
S
D000368:Aged; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed