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The Journal of Thoracic and Cardiovascular Surgery, Vol 79, 312-313, Copyright © 1980 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association


ARTICLES

Innominate artery-coronary artery bypass graft in a patient with calcific aortitis

G Weinstein and DA Killen

Calcification of the ascending thoracic aorta may make aortic cross- clamping dangerous and aorta-coronary artery bypass grafting impossible. A patient with a severely calcified ascending aorta owing to syphilitic aortitis presented such a problem. Sequential saphenous vein grafting was done to three coronary arteries, the proximal anastomosis being made to the noncalcified innominate artery. This technique may offer a practical solution to this problem.


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