Abstract
A calcified ascending aorta makes coronary bypass surgery more difficult and is a major risk factor for perioperative strokes. We describe a technique in which coronary revascularization is achieved with an in situ right gastroepiploic artery. This approach minimizes manipulation of the diseased aorta. (Texas Heart Institute Journal 1992;19:62-4)
Keywords: Calcified aorta
Keywords: coronary artery bypass
Keywords: right gastroepiploic artery
Keywords: coronary revascularization
Keywords: surgery
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- Culliford A. T., Colvin S. B., Rohrer K., Baumann F. G., Spencer F. C. The atherosclerotic ascending aorta and transverse arch: a new technique to prevent cerebral injury during bypass: experience with 13 patients. Ann Thorac Surg. 1986 Jan;41(1):27–35. doi: 10.1016/s0003-4975(10)64492-x. [DOI] [PubMed] [Google Scholar]
- Gardner T. J., Horneffer P. J., Manolio T. A., Pearson T. A., Gott V. L., Baumgartner W. A., Borkon A. M., Watkins L., Jr, Reitz B. A. Stroke following coronary artery bypass grafting: a ten-year study. Ann Thorac Surg. 1985 Dec;40(6):574–581. doi: 10.1016/s0003-4975(10)60352-9. [DOI] [PubMed] [Google Scholar]
- Holland D. L., Hieb R. E. Revascularization without embolization: coronary bypass in the presence of a calcified aorta. Ann Thorac Surg. 1985 Sep;40(3):308–310. doi: 10.1016/s0003-4975(10)60051-3. [DOI] [PubMed] [Google Scholar]
- Lytle B. W., Cosgrove D. M., Ratliff N. B., Loop F. D. Coronary artery bypass grafting with the right gastroepiploic artery. J Thorac Cardiovasc Surg. 1989 Jun;97(6):826–831. [PubMed] [Google Scholar]
- Murphy D. A., Hatcher C. R., Jr Coronary revascularization in the presence of ascending aortic calcification: use of an internal mammary artery-saphenous vein composite graft. J Thorac Cardiovasc Surg. 1984 May;87(5):789–791. [PubMed] [Google Scholar]
- Peigh P. S., DiSesa V. J., Collins J. J., Jr, Cohn L. H. Coronary bypass grafting with totally calcified or acutely dissected ascending aorta. Ann Thorac Surg. 1991 Jan;51(1):102–104. doi: 10.1016/0003-4975(91)90459-4. [DOI] [PubMed] [Google Scholar]
- Robicsek F., Rubenstein R. B. Calcification and thickening of the aortic wall complicating aortocoronary grafting: a technical modification. Ann Thorac Surg. 1980 Jan;29(1):84–85. doi: 10.1016/s0003-4975(10)61635-9. [DOI] [PubMed] [Google Scholar]
- Weinstein G., Killen D. A. Innominate artery-coronary artery bypass graft in a patient with calcific aortitis. J Thorac Cardiovasc Surg. 1980 Feb;79(2):312–313. [PubMed] [Google Scholar]