An unusual origin of proximal coronary bypass anastomosis in a patient with porcelain aorta: How we solved the problem

Pavle Kovacevic, Lazar Velicki, Aleksandar Redzek, Miodrag Golubovic, Viktor Till, Vladimir Ivanovic
2011 Medicinski pregled  
Severe calcification of the ascending aorta (porcelain aorta) is a very difficult condition in cardiac surgery because of a high embolization potential during the process of cannulation, aortic cross-clamping and a particular difficulty to suture the proximal anastomosis. We described a case of a 68-year-old female referred to our Institute due to unstable angina. Further diagnostics revealed a severe high grade, multilevel fibrolipid symptomatic carotid stenosis and ostial left main coronary
more » ... eft main coronary artery stenosis and a highly calcified ascending aorta and aortic arch. We performed simultaneous carotid segment replacement with the Dacron prosthesis and revascularisation of the left anterior descending coronary artery. Proximal venous anastomosis was created in the Dacron prosthesis of the right carotid artery. Perfusion of the patient was achieved via the graft sutured at the right subclavian artery due to impossibility of direct aortic cannulation.
doi:10.2298/mpns1104215k pmid:21905604 fatcat:57b3flap25g6rokwq7ujsgx43u