A successful case report of coronary artery bypass grafting with aortic no touch technique for the severely calcified ascending aorta

: Calcification of the ascending aorta may render aortic cross-clamping dangerous and aorta-coronary artery bypass grafting impossible. Coronary artery bypass grafting in a 72-year-old woman with drug resistant unstable angina and severely calcified ascending aorta owing to aortitis was successfully performed with aortic no touch technique which consisted of utilization of the left internal thoracic artery, fibrillatory arrest without aortic cross-clamping, left ventricular venting, and femoral artery perfusion. Her postoperative course was uneventful, and she is relieved of angina.