Aortic valve replacement with patent bilateral internal thoracic artery grafts using cross-clamp fibrillation

Aortic valve replacement in patients with patent coronary grafts poses many challenges. Intraoperative myocardial protection remains one of the key technical issues in these redo cases. We present a case of aortic valve replacement with patent bilateral internal thoracic artery grafts, using cross-clamp fibrillation. Perfusion