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Marco Agrifoglio
Fabio Barili
Massimo Porqueddu
Luca Dainese
Giulio Pompilio
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Paolo Biglioli
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Ann Thorac Surg 2006;82:2298-2300
© 2006 The Society of Thoracic Surgeons

Case Reports

Left Common Carotid Artery as Inflow Site in Coronary Artery Bypass Grafting

Marco Agrifoglio, MD, PhD, Fabio Barili, MD*, Massimo Porqueddu, MD, Samer Kassem, MD, Luca Dainese, MD, Giulio Pompilio, MD, PhD, Alessandro Parolari, MD, PhD, Paolo Biglioli, MD

Department of Cardiac Surgery, Centro Cardiologico Monzino, University of Milan, Milan, Italy

Accepted for publication April 6, 2006.

* Address correspondence to Dr Barili, Department of Cardiac Surgery, University of Milan, Centro Cardiologico Monzino IRCCS, Via Parea 4, Milan, 20138 Italy. (Email: fabarili{at}libero.it).

Porcelain aorta is associated to significantly increased risk of atheromatous embolization in patients who undergo cardiac surgery. We described three cases in which coronary artery bypass grafting was performed off-pump and the saphenous vein graft was anastomosed proximally to the left common carotid artery. This technique permitted avoidance of ascending aortic manipulation and reduce the risk of atheromatous embolization.






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