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The Use of an Aortic Connector System in a Patient with Severe Calcified Ascending Aorta
Author(s) -
Gummert Jan F.,
Bossert Torsten,
Mohr Friedrich W.
Publication year - 2004
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.0886-0440.2004.04013.x
Subject(s) - medicine , ascending aorta , aorta , cardiology
Patients with severe calcified ascending aorta (“porcelain aorta”) present a surgical challenge. Off‐pump coronary artery bypass grafting (OPCAB), using new automated proximal anastomotic devices, provide a surgical alternative for patients who are not candidates for in situ arterial grafting. We present a 74‐year‐old male with double‐vessel disease and a large calcified aneurysm of the left anterior wall. Left ventricular function was poor with an ejection fraction of 24%. The beating heart technique was used for the distal anastomosis and ventriculoplasty. The proximal anastomosis was constructed with an automated aortic connector system, thereby avoiding clamping of the severely diseased aorta. (J Card Surg 2004;19:62‐64)