Key result
Off-pump axillo-coronary bypass grafting succeeds in a patient with a porcelain ascending aorta.
Case Report (n=1)
Off-pump axillo-coronary artery bypass grafting is a feasible procedure for coronary revascularization in patients with a severely diseased ascending aorta to prevent atheromatous embolism.
Suggests feasibility in porcelain aorta; hypothesis-generating and should not change practice without further evidence.
Coronary artery bypass grafting (CABG) in patients with severely diseased ascending aorta has been associated with high risk for cerebral vascular accidents due to atheromatous embolism. In this situation, aortic no-touch techniques are widely employed as most important surgical strategy to prevent these complications. A case of 75-year-old man with effort angina associated with porcelain ascending aorta was reported here. He successfully underwent off-pump axillo-coronary bypass grafting with saphenous vein graft and has remained uneventful during his follow-up period. The off-pump axillo-coronary artery bypass grafting seemed to be an appropriate procedure for coronary revascularization with severely diseased ascending aorta.
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Matsuda et al. (2005) conducted a case report in Effort angina associated with porcelain ascending aorta (n=1). Off-pump axillo-coronary bypass grafting with saphenous vein graft was evaluated on Clinical outcome. Off-pump axillo-coronary bypass grafting with a saphenous vein graft was successfully performed in a 75-year-old man with a porcelain ascending aorta, resulting in an uneventful follow-up.
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