Coronary artery bypass grafting in patients with calcified aorta prese
nts a formidable problem in terms of cannulation and proximal anastomo
sis with its attending risks of cerebral and peripheral embolism. Coro
nary artery bypass grafting without cross-clamping and proximal anasto
mosis to the aorta at a soft spot under circulatory arrest may be a si
mple and safe alternative to a difficult clinical problem.