CORONARY-BYPASS AFTER ASCENDING AORTA TO FEMORAL GRAFT PLACEMENT RUNNING HEAD - CABG AFTER ASCENDING AORTA-BIFEMORAL GRAFT

A 73-year-old woman had undergone ascending aorta-bifemoral bypass 9 y ears previously and now required coronary artery bypass for unstable a ngina. The technical considerations for the operation had nevere been described. We successfully completed the operation by mobilization of the pre-existent graft as it exited the thorax and by intermittent aor tic root perfusion of the graft. Postoperatively she had no lower extr emity complications, despite what was likely a graft dependent circula tion, The same technique for coronary bypass can Likely be used for al l extra-anatomic bypass grafts originating from the ascending aorta, A n alternate theoretical method is also discussed.