title: Dealing with a Porcelain Aorta during Coronary Artery Bypass Grafting.
abstract: We report a complex case of multivessel CAD in a patient with a porcelain aorta and high-grade left subclavian artery stenosis. Utilizing a staged left subclavian artery stent placement with a next-day plan for a four-vessel, on-pump CABG and ascending aortic replacement, this case highlights an organized approach to diagnosing and dealing with a heavily calcified aorta while describing a stepwise algorithm to deal with aortic calcifications prior to initiating cardiac surgery.
authors.affiliation: College of Medicine and Biomedical Sciences Graduate Program, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
authors.forename: T M Ayodele
authors.initials: TM
authors.lastname: Adesanya
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, N-816 Doan Hall, Columbus, OH 43210, USA.
authors.forename: Ahmet
authors.identifier: 0000-0002-2365-3093
authors.initials: A
authors.lastname: Kilic