Figure 1.

(a)Coronary angiogram in a patient showing calcific, aneurysmatic segments of the proximal LAD (Black arrow). (b)Coronary angiogram 1-year after MIDCAB (LIMA-LAD) in patient 1 with intact flow in LIMA-LAD, (Black arrow). (c)Aortography provided the tentative diagosis of porcelain aorta (Black arrow tips), which was confirmed by (d)computed tomography showing near circumferential severe calcification at ascending aorta (white arrow). (e)Set up for MIDCAB with specially designed access route retractor and (f)direct LIMA harvest procedure