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Ann Thorac Surg 2001;72:1378-1380
© 2001 The Society of Thoracic Surgeons

Case report

Management of porcelain aorta and calcified great vessels in coronary artery bypass grafting with off-pump and no-touch technology

Hartmuth B. Bittner, MDa, Michael A. Savitt, MDa

a Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

Accepted for publication October 30, 2000.

Address reprint requests to Dr Bittner, Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Box 207 Mayo, 420 Delaware St, Minneapolis, MN 55455
e-mail: bittn006{at}tc.umn.edu

A 69-year-old woman presented with postinfarct unstable angina and decreased ventricular function secondary to significant left main coronary artery stenosis in combination with total right coronary artery occlusion. We did successful off-pump coronary revascularization in this patient with severely calcified ascending aorta and great vessels, subtotal aortobiiliac stenoses, a history of previous stroke, and right carotid endarterectomy.




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