case_images: PMC5288526_01
case_images: Thoracic CT scan of the patient two months after OPCAB. The yellow arrow points at a localized anterior wall disruption on ascending aorta, at the site of aortic punching.
case_images: CRIS2017-3831749.001.jpg
case_images: PMC5288526_01_CRIS2017-3831749.001.jpg
case_images: fig1
case_images: Two months later, the patient underwent thoracic and coronary computed tomography (CT) scan that confirmed severe thickness of the ascending aortic wall (5.6 mm versus 2 mm normal value) and a localized wall disruption at the site of aortic punching (Figure 1).
case_images: 3D reconstruction of the coronary CT scan, showing a patent LITA to LAD and a composite Y-graft with SV from LITA to obtuse marginal branch.
case_images: CRIS2017-3831749.002.jpg
case_images: PMC5288526_01_CRIS2017-3831749.002.jpg
case_images: fig2
case_images: All grafts were patent (Figure 2).