The Annals of Thoracic Surgery, Vol 40, 308-310, Copyright © 1985 by The Society of Thoracic Surgeons
Revascularization without embolization: coronary bypass in the presence of a calcified aorta
DL Holland and RE Hieb
The densely calcified ascending aorta presents a formidable challenge to
the cardiac surgeon. Clamping such an aorta in the patient requiring
myocardial revascularization may result in catastrophic cerebral embolism
and mar an otherwise successful surgical outcome. Myocardial
revascularization using ventricular fibrillation and hypothermia without
aortic cross-clamping in 3 patients with severely calcified aortas is
described.