Bentall Procedure with Concomitant Coronary-Coronary Bypass for Right Coronary Artery Stenosis: A Case Report

Introduction: Aortic surgery has made much progress recently. Yet the combination of aortic surgery and coronary artery bypassgrafting has remained a major issue for the surgeons.Patient and Observation: Herein, we present a case of severe aortic insufficiency with aortic aneurysm concomitant with singlecoronary artery disease on the right coronary artery. The patient underwent Bentall procedure for the correction of severe AI andaortic aneurysm. Subsequently, due to the lack of proper site for proximal anastomosis of the saphenous vein graft on the ascendingaorta, we decided to perform coronary-coronary artery bypass for the right coronary artery lesion instead of conventional implantationof saphenous vein graft on the ascending aorta.Conclusions: Coronary-coronary artery bypass could be performed safely for special conditions like porcelain aorta and when theascending aorta is not suitable for the proximal saphenous vein graft.

Bentall Procedure with Concomitant Coronary-Coronary Bypass for Right Coronary Artery Stenosis: A Case Report Keywords:

Aortic Aneurysm , Aortic Insufficiency , Cardiac Surgery , Coronary-Coronary Artery Bypass