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Case Reports in Surgery
Volume 2014, Article ID 582425, 4 pages
Case Report

Dealing with a Porcelain Aorta during Coronary Artery Bypass Grafting

1College of Medicine and Biomedical Sciences Graduate Program, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
2Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, N-816 Doan Hall, Columbus, OH 43210, USA

Received 23 October 2014; Accepted 11 December 2014; Published 24 December 2014

Academic Editor: Shuli Silberman

Copyright © 2014 T. M. Ayodele Adesanya and Ahmet Kilic. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a complex case of multivessel CAD in a patient with a porcelain aorta and high-grade left subclavian artery stenosis. Utilizing a staged left subclavian artery stent placement with a next-day plan for a four-vessel, on-pump CABG and ascending aortic replacement, this case highlights an organized approach to diagnosing and dealing with a heavily calcified aorta while describing a stepwise algorithm to deal with aortic calcifications prior to initiating cardiac surgery.