Multivessel coronary revascularization was successfully performed in a 75-year-old man with severe atherosclerosis of the ascending aorta and aortic arch, significant stenoses in the right subclavian, innominate, and aortoiliac arteries, renal impairment, and conduit shortage, by combining the beating-heart approach with aorta-sparing pedicled arterial and venous grafts. No postoperative complications were encountered.
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