A 60-year-old Japanese @entity1 first presented in 1990 with @entity951 . She underwent coronary angiography and was diagnosed with bilateral @entity3979 and @entity12040 . Coronary artery bypass graft surgery (CABG) for multiple vessels was attempted, but the blood flow in the bilateral internal thoracic and gastroepiploic arteries was to poor for a donor artery, and the calcification of the ascending aortic wall was too severe for @entity254 of saphenous vein grafts. Therefore, the proper hepatic artery was connected to the left anterior descending artery using a vein graft. In April 2000, the @entity1 's @entity951 worsened. Occlusions of both subclavian arteries, bilateral @entity3979 and vein graft occlusion, @entity337 , and two severe stenoses of the descending aorta were observed. Aortic valve replacement, and coronary and aorta revascularization were desirable, but the severe aortic wall calcification and thickening rendered these interventions impossible. Treatment with medication was chosen. The @entity1 was discharged without severe @entity951 . A combination of these serious @entity65 which do not allow any surgical intervention is very rare.

@entity12040 with XXXX .

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity12040 :: ('MESH:D013625', 'Disease') :: ['Takayasu arteritis'] @entity3979 :: ('MESH:D023921', 'Disease') :: ['coronary ostial stenosis'] @entity951 :: ('MESH:D000787', 'Disease') :: ['effort angina', 'angina'] @entity337 :: ('MESH:D001022', 'Disease') :: ['aortic valve regurgitation'] @entity65 :: ('MESH:D002318', 'Disease') :: ['cardiovascular complications']
@entity65 :: (MESH:D002318,Disease) :: ['multiple cardiovascular complications']
