Sutureless Aortic Valve Implantation in Patient with Porcelain Aorta via Unclamped Aorta and Deep Hypothermic Circulatory Arrest

نویسندگان

  • Vagelis Boultadakis
  • Nikolaos G Baikoussis
  • Victoras Panagiotakopoulos
  • Nikolaos A Papakonstantinou
  • Polyxeni Xelidoni
  • Stratos Anagnostou
  • Christos Charitos
چکیده

Severe atherosclerotic calcification of the ascending aorta, the so-called porcelain aorta, precludes cardiac surgeons from placing an aortic cross-clamp and direct aortic cannulation due to the increased risk of systemic embolism and stroke. In the present report, we support the option of sutureless valve implantation in a case of a porcelain ascending aorta, with deep hypothermic circulatory arrest and also without aortic cross-clamp.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Aortic valve replacement within an unexpected porcelain aorta: the sutureless valve option.

Four patients referred for surgical treatment of aortic stenosis presented an unexpected extremely calcified (porcelain) ascending aorta at the intraoperative epiaortic ultrasonography scanning. In each patient, replacement of the aortic valve was successfully performed using a sutureless implantable bioprosthesis during a short period of hypothermic circulatory arrest. In the era of transcathe...

متن کامل

Combined aortic valve replacement and coronary artery bypass grafting with in situ arterial grafts for porcelain aorta.

Patients with porcelain aorta carry a high risk of cerebral as well as systemic embolism during 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 77-year-old man who successfully received four coronary artery bypass grafts with in situ arterial grafts without clamping the aorta an...

متن کامل

Porcelain aorta and severe aortic stenosis: is transcatheter aortic valve implantation the new standard?

Thoracic aorta calcification is associated with coronary and valvular calcification and increased risk of cardiovascular and cerebrovascular events. Porcelain aorta represents excessive calcification of the thoracic ascending aorta (Figure) and is a challenging substrate for cardiac surgeons because aortic cross-clamping and aortotomy may cause excessive aortic injury and/or release of thromboe...

متن کامل

Bilateral axillary artery cannulation for severely calcified aorta and branches: a case report

BACKGROUND Aortic valve surgery in patients with severely calcified aortas is technically challenging. Additionally, the choice of arterial cannulation site and whether to perform an aortic clamp to prevent neurological complications are poorly defined. CASE PRESENTATION We describe a patient with a severely calcified aorta and stenosis of its side branches. He successfully underwent aortic v...

متن کامل

Aortic valve replacement and graft replacement of the ascending aorta using deep hypothermic circulatory arrest in a patient with myelodysplastic syndrome.

A 73-year-old woman with a 10-year history of myelodysplastic syndrome (MDS) had severe aortic regurgitation (AR) and an ascending thoracic aortic aneurysm (TAA) with a maximum diameter of 55 mm. By retrograde cerebral perfusion (RCP) in the patient under deep hypothermic circulatory arrest (DHCA), we replaced the ascending aorta graft and aortic valve. After surgery, we periodically administer...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 20  شماره 

صفحات  -

تاریخ انتشار 2017