Coronary-coronary bypass using vein graft on a beating heart in a patient with porcelain aorta

Autor: Nevzat, Erdil, Sanser, Ates, Ufuk, Demirkilic, Harun, Tatar, Cemal, Sag
Rok vydání: 2002
Předmět:
Zdroj: Texas Heart Institute journal. 29(1)
ISSN: 0730-2347
Popis: There is increased risk of systemic embolism during cardiopulmonary bypass in patients with a severely atherosclerotic ascending aorta. We report a coronary–coronary bypass in a 74-year-old man with a porcelain aorta. He underwent a proximal right coronary–distal right coronary artery bypass with a saphenous vein graft, combined with a pedicled arterial graft (left internal mammary artery) to the left anterior descending artery, in the presence of a beating heart without cardiopulmonary bypass. The patient survived without evidence of perioperative myocardial infarction or cerebrovascular accident. One year later, follow-up angiography showed graft patency with good distal runoff. Coronary–coronary bypass on a beating heart without cardiopulmonary bypass can be performed safely in a patient with porcelain aorta. (Tex Heart Inst J 2002;29:54–5)
Databáze: OpenAIRE