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Ann Thorac Surg 1985;40:308-310
© 1985 The Society of Thoracic Surgeons

Articles

Revascularization without Embolization: Coronary Bypass in the Presence of a Calcified Aorta

David L. Holland, M.D.*, Robert E. Hieb, M.D.

From the University of North Dakota School of Medicine and the Department of Surgery, Q*R Clinic, Bismarck, ND.

Accepted for publication January 26, 1985.

* Address reprint requests to Dr. Holland, Q*R Clinic, 222 North 7th St, Bismarck, ND 58501

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.




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