Aortic valve replacement in a heavily calcified "porcelain" aorta

Although a heavily-calcified so-called "porcelain" aorta is encountered infrequently, its association presents a formidable problem in cardiac surgery. Here we describe a case of severe aortic stenosis and coronary artery disease combined with the circumferentially calcified aorta. The pat...

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Bibliographic Details
Published in:The Japanese journal of thoracic and cardiovascular surgery 2001-07, Vol.49 (7), p.453-456
Main Authors: Okamoto, H, Fujimoto, K, Tamenishi, A, Itoh, Y, Niimi, T
Format: Article
Language:English
Subjects:
Aortic Diseases - surgery
Aortic Valve - surgery
Aortic Valve Stenosis - surgery
Bioprosthesis
Calcinosis - surgery
Coronary Disease - complications
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - methods
Humans
Male
Middle Aged
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Summary:Although a heavily-calcified so-called "porcelain" aorta is encountered infrequently, its association presents a formidable problem in cardiac surgery. Here we describe a case of severe aortic stenosis and coronary artery disease combined with the circumferentially calcified aorta. The patient was a 63-year-old man who successfully underwent double coronary artery bypass grafting and aortic valve replacement during hypothermic perfusion through the right axillary artery with endoaortic balloon occlusion, followed by minimal endarterectomy of the calcified plate along the aortotomy, and closure of the aorta buttressed with bovine pericardium under circulatory arrest.
ISSN:1344-4964
1863-2092
DOI:10.1007/BF02913912