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Eur J Cardiothorac Surg 2007;31:126. doi:10.1016/j.ejcts.2006.10.032
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Images in cardio-thoracic surgery

Apico-aortic conduit

Ivana Pulitani, Justo Rafael Sadaba, Virginia Alvarez, Juan J. Goiti*

Cardiovascular Surgery, Policlínica Gipuzkoa, San Sebastián, Spain

Received 11 August 2006; received in revised form 10 October 2006; accepted 17 October 2006.

* Corresponding author. Address: Cirugía Cardiovascular, Policlinica Gipuzkoa, Paseo Miramon No. 174, 20009 San Sebastián (Gipuzkoa), Spain. Tel.: +34 943 00 2772; fax: +34 943 00 2771. (Email: jjgoiti{at}med.policlinicagipuzkoa.com).

Key Words: Apico-aortic conduit • Aortic stenosis • 64 slice CT scanning

A 59-year-old male patient with a calcified ascending aorta and severe aortic stenosis, and previous coronary surgery with patent right and left internal thoracic artery grafts to the left coronary vessels, was treated with an apico-aortic valved conduit (see Fig. 1 ).


Figure 1
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  		Fig. 1. CT image showing patent internal thoracic artery (ITA) grafts to the left anterior descending artery (right ITA) and obtuse marginal artery (left ITA). The right ITA graft was positioned anterior to the ascending aorta. Both grafts are in close relation to the manubrium of the sternum.

 





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