Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

THE DIFFICULT PROXIMAL CORONARY ANASTOMOSIS.

David A. Ott1, Denton A. Cooley

  • 1Division of Surgery of the Texas Heart Institute, St. Luke's Episcopal Hospital, Houston, Texas.

Cardiovascular Diseases
|March 1, 1979
PubMed
Summary

Severe calcific aortitis poses challenges for coronary artery bypass surgery. Novel surgical techniques involving aortic endarterectomy or patch repair enabled successful coronary anastomosis in two patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Dextrocardia with situs inversus totalis: Cardiovascular surgery in three patients with concomitant coronary artery disease.

Cardiovascular diseases·1981
Same author

Total artificial heart in two-staged cardiac transplantation.

Cardiovascular diseases·1981
Same author

Clinical experience in 1040 patients with double-velour knitted Dacron vascular prostheses: With particular reference to dilatation and aneurysm formation.

Cardiovascular diseases·1981
Same author

Congenital coronary artery-left heart fistulas: Report of three cases.

Cardiovascular diseases·1981
Same author

Left ventricular aneurysm: Twenty-year surgical experience with 1572 patients at the Texas Heart Institute.

Cardiovascular diseases·1981
Same author

How to do it: Implantation of an Ionescu-Shiley valve.

Cardiovascular diseases·1981

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery
  • Aortic Surgery

Background:

  • Severe calcific aortitis can complicate cardiac surgical procedures.
  • Proximal coronary artery anastomosis is crucial for coronary artery bypass grafting (CABG).
  • Calcific aortitis may render standard proximal anastomosis techniques impossible.

Purpose of the Study:

  • To present innovative surgical strategies for performing proximal coronary anastomosis in patients with severe calcific aortitis.
  • To demonstrate the feasibility of alternative techniques when standard CABG is precluded by aortic pathology.

Main Methods:

  • Case report of two patients with severe calcific aortitis undergoing coronary artery bypass.
  • Patient 1: Aortic endarterectomy of the ascending aorta post-aortic valve replacement, followed by aortocoronary bypass and proximal anastomosis.
  • Patient 2: Resection of an anterior aortic segment, replacement with a Dacron patch, and subsequent sewing of vein grafts into the patch.

Main Results:

  • Successful performance of proximal coronary anastomoses was achieved in both patients using modified techniques.
  • The first patient underwent successful endarterectomy and bypass.
  • The second patient had a successful aortic segment resection and patch angioplasty for graft anastomosis.

Conclusions:

  • Surgical modification, including aortic endarterectomy or patch angioplasty, can overcome the challenges posed by severe calcific aortitis during CABG.
  • These techniques offer viable solutions for achieving proximal coronary anastomoses in complex aortic conditions.
  • Successful outcomes in these cases highlight the adaptability of surgical approaches in challenging cardiac scenarios.

Related Experiment Videos