Dealing with a Porcelain Aorta during Coronary Artery Bypass Grafting

Figure 1

Cardiac catheterization shows multivessel coronary artery disease with occluded left circumflex artery as well as high-grade lesions of the left anterior descending artery and diagonal arteries (a). In addition, delayed imaging shows occluded right coronary artery filling via left-to-right collaterals (b). Cardiac catheterization (c) shows a heavily calcified ascending aorta as well as left subclavian artery stenosis (d). Noncontrast computed tomography of the chest again shows a heavily calcified ascending aorta (e). All lesions are represented with “^∗”.

(a)

(b)

(c)

(d)

(e)