Innominate Artery as an Alternative Site for Proximal Anastomoses in Patients With a Severely Calcified Aorta

摘要: Background Atheromatous plaques of the ascending aorta are one most important risk factors for postoperative mortality and morbidity in coronary artery bypass grafting (CABG). We have retrospectively analyzed results proximal anastomoses constructed on innominate patients with calcific atheromatous (CAP) their detected intraoperatively. Patients Methods This study is a retrospective review 16 consecutive who underwent CABG operations had CAP between November 2006 June 2009. The lesions were intraoperatively operation plan was changed to off-pump surgery. All made artery, left internal thoracic (LITA) or other saphenous vein grafts (SVG). Thirteen male three female mean age 63.7 ± 5.3 (ranged, 53–71) years. Results A total 56 distal (3.5 per patient) 25 performed. Of patients, seven (43.7%) received sequential SVG; two (12.5%) LITA graft; (6.25%) patient SVG graft. One performed four (25%) graft (6.2%). (6.2%) died due cerebrovascular morbidity. No complications observed. Conclusions The an alternative site aorta. doi: 10.1111/jocs.12112 (J Card Surg 2013;28:228–232)