Sirin G. Surgical strategies for severely atherosclerotic (porcelain) aorta during coronary artery bypass grafting. World J Cardiol 2021; 13(8): 309-324 [PMID: 34589167 DOI: 10.4330/wjc.v13.i8.309]
Corresponding Author of This Article
Gokce Sirin, MD, Professor, Department of Cardiovascular Surgery, Biruni University, Protokol Yolu No:45, 10. Yıl Cad., 34010 Zeytinburnu, Istanbul 34010, Turkey. sirin.gokce@yahoo.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Aug 26, 2021; 13(8): 309-324 Published online Aug 26, 2021. doi: 10.4330/wjc.v13.i8.309
Surgical strategies for severely atherosclerotic (porcelain) aorta during coronary artery bypass grafting
Gokce Sirin
Gokce Sirin, Department of Cardiovascular Surgery, Biruni University, Istanbul 34010, Turkey
Gokce Sirin, Department of Cardiovascular Surgery, Camlica Medicana Hospital, Istanbul 34692, Turkey
Author contributions: Sirin G comprehensively contributed to the analysis and writing.
Conflict-of-interest statement: The author has no conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gokce Sirin, MD, Professor, Department of Cardiovascular Surgery, Biruni University, Protokol Yolu No:45, 10. Yıl Cad., 34010 Zeytinburnu, Istanbul 34010, Turkey. sirin.gokce@yahoo.com
Received: March 11, 2021 Peer-review started: March 11, 2021 First decision: May 13, 2021 Revised: May 27, 2021 Accepted: July 26, 2021 Article in press: July 26, 2021 Published online: August 26, 2021
Core Tip
Core Tip: Porcelain aorta (PA) is a serious atherosclerotic disease that prevents manipulation of the aorta, and it is seen in 2% to 9.3% of the patients undergoing elective coronary artery bypass grafting (CABG). Although various mechanisms have been proposed to explain the development of stroke in cardiac surgery, embolic events resulting from manipulation of the ascending aorta are the main cause of stroke. Perioperative stroke is still among the most crucial complications of CABG surgery with its high patient morbidity and mortality. The best approach to prevent embolic events is the use of alternative surgical techniques which aim to minimize or eliminate the manipulation of a severely atherosclerotic or completely calcified aorta. Here, surgical strategies which are used for the management of patients with PA are summarized.
