M. Gaudino et al., Integrated approach for revascularization in multivessel coronary artery disease and porcelain aorta, J CARDIAC S, 13(2), 1998, pp. 140-142
We report two cases in which combined beating heart revascularization of th
e left anterior descending artery (LAD) and percutaneous angioplasty of the
non-LAD target arteries were adopted after the intraoperative detection of
porcelain aorta and impossibility to complete surgical revascularization.
This type of strategy preserves the benefits of surgical LAD grafting and c
omplete revascularization and results in a simple and low-risk technical pr
ocedure in an otherwise challenging setting.