CABG in calcified aorta under circulatory arrest

Coronary artery bypass grafting in patients with calcified aorta presents a formidable problem in terms of cannulation and proximal anastomosis with its attending risks of cerebral and peripheral embolism. Coronary artery bypass grafting without cross-clamping and proximal anastomosis to the aorta at a soft spot under circulatory arrest may be a simple and safe alternative to a difficult clinical problem.