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

Tex Heart Inst J. 2002;29(1):54-5.

Abstract

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 run-off. Coronary-coronary bypass on a beating heart without cardiopulmonary bypass can be performed safely in a patient with porcelain aorta.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta / surgery*
  • Aorta, Thoracic / surgery
  • Aortic Diseases / complications
  • Aortic Diseases / surgery*
  • Calcinosis / complications
  • Calcinosis / surgery*
  • Coronary Artery Bypass / methods*
  • Coronary Disease / complications
  • Coronary Disease / surgery*
  • Humans
  • Male
  • Mammary Arteries / transplantation
  • Saphenous Vein / transplantation
  • Vascular Patency