Coronary revascularization in a calcified ascending aorta: using the right gastroepiploic artery
W Ting1, P M Scholz, A J Spotnitz
1The Department of Surgery, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey 08903-0019, USA.
Texas Heart Institute Journal
|January 1, 1992
Insights
Calcified aorta complicates bypass surgery. A new technique using the right gastroepiploic artery for coronary revascularization minimizes aortic manipulation, reducing stroke risk.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
Background:
- A calcified ascending aorta presents significant challenges during coronary bypass surgery.
- It is a major risk factor for perioperative strokes.
Purpose of the Study:
- To describe a novel technique for coronary revascularization in patients with a calcified aorta.
- To present an alternative approach that minimizes manipulation of the diseased aorta.
Main Methods:
- Coronary revascularization was performed using an in situ right gastroepiploic artery graft.
- This technique avoids extensive manipulation of the ascending aorta.
Main Results:
- The described method facilitates coronary revascularization.
- It offers a strategy to reduce aortic manipulation during surgery.
Conclusions:
- The in situ right gastroepiploic artery is a viable option for coronary revascularization in the presence of aortic calcification.
- This approach may mitigate the risks associated with manipulating a calcified aorta.
Abstract:
A calcified ascending aorta makes coronary bypass surgery more difficult and is a major risk factor for perioperative strokes. We describe a technique in which coronary revascularization is achieved with an in situ right gastroepiploic artery. This approach minimizes manipulation of the diseased aorta.
