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Integrated Approach for Revascularization in Multivessel Coronary Artery Disease and Porcelain Aorta
Author(s) -
Gaudino Mario,
Cellini Carlo,
Bruno Piergiorgio,
Zimarino Marco,
Possati Gianfederico
Publication year - 1998
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.1540-8191.1998.tb01250.x
Subject(s) - medicine , revascularization , cardiology , myocardial revascularization , percutaneous , angioplasty , aorta , coronary artery disease , artery , surgery , myocardial infarction
A bstract We report two cases in which combined beating heart revascularization of the left anterior descending artery (LAD) and percutaneous angioplasty of the non‐LAD target arteries were adopted after the intraoperative detection of porcelain aorta and impossibility to complete surgical revascularization. This type of strategy preserves the benefits of surgical LAD grafting and complete revascularization and results in a simple and low‐risk technical procedure in an otherwise challenging setting.