title: Patch aortoplasty for proximal anastomosis of coronary artery bypass grafts in patients with complex aortic pathology.
abstract: Proximal anastomosis of conduits to the ascending aorta in patients undergoing coronary artery bypass grafting may be hazardous or impossible in the presence of complex aortic pathology. We describe a technique of the excision of a segment of the diseased aortic wall, reconstruction with a bovine pericardial patch, and attachment of the grafts to the patch. The technique was used successfully in 2 patients (ie, 1 patient with Takayasu's disease and the other with a heavily calcified aorta).
authors.affiliation: Department of Cardiothoracic Surgery, Boston Medical Center, Boston, Massachusetts 02118, USA.
authors.forename: Amit
authors.initials: A
authors.lastname: Korach
authors.forename: Praveen
authors.initials: P
authors.lastname: Menon
authors.forename: Oz M
authors.initials: OM
authors.lastname: Shapira
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery*; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008297:Male; D014656:Vascular Surgical Procedures