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Complete Myocardial Revascularization in Severe Arteriopathy

Department of Cardiac Surgery Wessex Regional Cardiac & Thoracic Unit Southampton General Hospital Southampton, Hampshire, England, UK
For reprint information contact: Augustine TM Tang, FRCSEd Tel: 44 23 8077 7222 Fax: 44 23 8079 8508 email: gus.tang{at}ntlworld.com Department of Cardiac Surgery, Wessex Regional Cardiac & Thoracic Unit, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, Hampshire, England, UK.

Multivessel coronary revascularization was successfully performed in a 75-year-old man with severe atherosclerosis of the ascending aorta and aortic arch, significant stenoses in the right subclavian, innominate, and aortoiliac arteries, renal impairment, and conduit shortage, by combining the beating-heart approach with aorta-sparing pedicled arterial and venous grafts. No postoperative complications were encountered.