Proximal anastomosis of conduits to the ascending aorta in patients undergoing coronary artery bypass grafting may be hazardous or impossible in the presence of complex aortic pathology. We describe a technique of the excision of a segment of the diseased aortic wall, reconstruction with a bovine pericardial patch, and attachment of the grafts to the patch. The technique was used successfully in 2 patients (ie, 1 patient with Takayasu's disease and the other with a heavily calcified aorta). © 2008 The Society of Thoracic Surgeons.
Korach, A., Menon, P., & Shapira, O. M. (2008). Patch Aortoplasty for Proximal Anastomosis of Coronary Artery Bypass Grafts in Patients With Complex Aortic Pathology. Annals of Thoracic Surgery, 85(3), 1108–1109. https://doi.org/10.1016/j.athoracsur.2007.04.040