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Ascending aorta replacement with concomitant coronary and peripheral artery bypass grafting

W Landon Jackson1, Charles D Williams2

  • 1Department of Surgery, Oklahoma State University Medical Center, Tulsa, OK, USA.

Journal of Surgical Case Reports
|August 19, 2021
PubMed

Insights

Severe aortic calcification complicates cardiac surgery. This case study details a successful surgical approach involving ascending aorta replacement and multiple bypass grafts for complex atherosclerosis.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Atherosclerosis Research

Background:

  • Atherosclerosis of the aorta is a significant risk factor for peri-operative complications in cardiac surgery patients.
  • Severe aortic calcification presents challenges for coronary and peripheral artery bypass grafting procedures.

Observation:

  • The native aorta was not amenable to bypass grafting due to extensive calcification.

Findings:

  • Successful management of a patient with severe aortic atherosclerosis.
  • Ascending aorta replacement was performed with concomitant three-vessel coronary artery bypass.
  • Bilateral aorto-axillary bypass and left axillary-to-carotid bypass were also successfully executed.

Implications:

  • This surgical strategy offers a viable solution for complex aortic atherosclerosis cases.
  • Demonstrates the feasibility of extensive bypass grafting in severely calcified aortas.
  • Highlights innovative approaches to managing challenging cardiac surgical cases.

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