title: A novel technique of coronary revascularization in porcelain aorta: report of two cases.
abstract: Severe atherosclerosis of the distal ascending aorta increases the risk of intraoperative stroke during coronary artery bypass. More than one in situ arterial graft is required to avoid aortic manipulation during proximal anastomosis. The application of bilateral internal thoracic arteries is a good choice, but it also carries the risk of sternal wound complications. Using a composite graft constructed with a partially harvested in situ right internal thoracic artery graft and another vascular conduit prevents extreme ischemia of the sternum. This study describes the experience of successful coronary revascularization using bilateral internal thoracic arteries and modified with a composite graft in two patients with a severely atherosclerotic ascending aorta.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5 Fushing Street, Gueishan Shiang, Taoyuan, Taipei, 333, Taiwan.
authors.forename: Meng-Yu
authors.initials: MY
authors.lastname: Wu
authors.forename: Pyng-Jing
authors.initials: PJ
authors.lastname: Lin
authors.forename: Yoa-Kuang
authors.initials: YK
authors.lastname: Haung
authors.forename: Feng-Chun
authors.initials: FC
authors.lastname: Tsai
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000789:Angina, Unstable / Q000150:complications / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D050197:Atherosclerosis / Q000150:complications / Q000601:surgery; D002114:Calcinosis / Q000150:complications / Q000601:surgery*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods*; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery; D017202:Myocardial Ischemia / Q000150:complications / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation