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Ann Thorac Surg 1989;48:728-730
© 1989 The Society of Thoracic Surgeons

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Articles

Coronary artery bypass grafting in patients with calcified ascending aorta: Aortic no-touch technique

Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan

Accepted for publication July 17, 1989.

^_* Address reprint requests to Dr Suma, Department of Cardiovascular Surgery, Mitsui Memorial Hospital, 1 Kanda Izumicho Chiyodaku, Tokyo 101, Japan.

To perform coronary artery bypass grafting safely for patients with calcified ascending aorta, an "aortic no-touch technique," which consisted of (1) maximal utilization of In situ arterial grafts, (2) fibrillatory arrest without aortic cross-clamp, (3) left ventricular venting through the right superior pulmonary vein, and (4) femoral artery perfusion, was attempted in 3 patients. All were men, aged 64, 70, and 56 years, respectively, with triple-vessel disease with severe atherosclerotic lesion in the ascending aorta. Bilateral internal mammary arteries and the right gastroepiploic artery were used in all patients. All patients survived without evidence of perioperative myocardial infarction or cerebrovascular accident.

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