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A practical and inexpensive proximal anastomosis technique in calcified aorta

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Abstract

Patients with severely calcified aorta have high risk of atheroemboli and bleeding during cardiac surgery. Clamping the ascending aorta to initiate cardiac arrest or to perform proximal anastomosis is a challenging problem. Beating heart coronary artery bypass grafting without aortic clamping is usually accepted as the best solution. Herein, we present a feasible and inexpensive proximal anastomosis technique without using aortic clamps for patients with severely atherosclerotic aorta.

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References

  1. Mills NL, Everson CT. Atherosclerosis of the ascending aorta and coronary artery bypass. Pathology, clinical correlates, and operative management. J Thorac Cardiovasc Surg. 1991;102(4):546–53.

    CAS  PubMed  Google Scholar 

  2. Leyh RG, Bartels C, Notzold A, Sievers HH. Management of porcelain aorta during coronary artery bypass grafting. Ann Thorac Surg. 1999;67(4):986–8.

    Article  CAS  PubMed  Google Scholar 

  3. Wu MY, Lin PJ, Haung YK, Tsai FC. A novel technique of coronary revascularization in porcelain aorta: report of two cases. Surg Today. 2008;38(2):157–60.

    Article  PubMed  Google Scholar 

  4. Ogus NT, Ogus H, Yildirim T, Selimoglu O, Basaran M. An alternative technique of proximal anastomosis in patients with an atherosclerotic ascending aorta. Heart Surg Forum. 2006;9(6):E846–8.

    Article  PubMed  Google Scholar 

  5. Gansera B, Schmidtler F, Gillrath G, Angelis I, Wenke K, Weingartner J, et al. Does bilateral ITA grafting increase perioperative complications? Outcome of 4462 patients with bilateral versus 4204 patients with single ITA bypass. Eur J Cardiothorac Surg. 2006;30(2):318–23.

    Article  PubMed  Google Scholar 

  6. Bittner HB, Savitt MA. Management of porcelain aorta and calcified great vessels in coronary artery bypass grafting with off-pump and no-touch technology. Ann Thorac Surg. 2001;72(4):1378–80.

    Article  CAS  PubMed  Google Scholar 

  7. Sirin G, Sarkislali K, Konakci M, Demirsoy E. Extraanatomical coronary artery bypass grafting in patients with severely atherosclerotic (Porcelain) aorta. J Cardiothorac Surg. 2013;8:86.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Hokenek F, Gursoy M, Ozgol I, Gulcan F, Kinoglu B. A new proximal anastomosis technique in two patients with severely calcified aorta. Ann Thorac Surg. 2011;92(5):1914–6.

    Article  PubMed  Google Scholar 

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Correspondence to Adnan Yalçınkaya.

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Yalçınkaya, A., Diken, A.İ., Yılmaz, S. et al. A practical and inexpensive proximal anastomosis technique in calcified aorta. Gen Thorac Cardiovasc Surg 65, 63–66 (2017). https://doi.org/10.1007/s11748-016-0675-7

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  • DOI: https://doi.org/10.1007/s11748-016-0675-7

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