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Ann Thorac Surg 2008;85:1108-1109. doi:10.1016/j.athoracsur.2007.04.040
© 2008 The Society of Thoracic Surgeons
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Amit Korach
Praveen Menon
Oz M. Shapira
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Right arrow Coronary disease

How To Do It

Patch Aortoplasty for Proximal Anastomosis of Coronary Artery Bypass Grafts in Patients With Complex Aortic Pathology

Amit Korach, MD, Praveen Menon, MD, Oz M. Shapira, MD*

Department of Cardiothoracic Surgery, Boston Medical Center, Boston, Massachusetts

Accepted for publication April 13, 2007.

* Address correspondence to Dr Shapira, Department of Cardiothoracic Surgery, Suite B-402, Boston Medical Center, 88 East Newton St, Boston, MA 02118 (Email: oz.shapira{at}bmc.org).

Proximal anastomosis of conduits to the ascending aorta in patients undergoing coronary artery bypass grafting may be hazardous or impossible in the presence of complex aortic pathology. We describe a technique of the excision of a segment of the diseased aortic wall, reconstruction with a bovine pericardial patch, and attachment of the grafts to the patch. The technique was used successfully in 2 patients (ie, 1 patient with Takayasu’s disease and the other with a heavily calcified aorta).






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