Management of the severe calcified ascending aorta during coronary bypass surgery
Ohira, M.; Yagi, S.; Okumura, H.; Yamamoto, T.; Narata, M.; Shindo, S.; Akiyama, K.; Sezai, Y.
Kyobu Geka. Japanese Journal of Thoracic Surgery 46(5): 405-408
1993
ISSN/ISBN: 0021-5252 PMID: 8492491 Document Number: 418505
The best management of the calcified ascending aorta during coronary surgery has not established. Clamping of the calcified aorta causes cerebral embolism, aortic rupture and laceration as a lethal complication. Recently we had two successful cases of surgical treatment and these were treated by "Non-touch aortic technique". The femoral cannulation and ventricular fibrillation with moderate hypothermia or circulatory arrest will reduce the risk of coronary bypass surgery in the calcified aorta.