Aortic Valve Replacement under Selective Cerebral Perfusion for the Calcified Porcelain Aorta
نویسندگان
چکیده
s 1 56 CTT 2004 Card io thorac ic Techniques and Technolog ies X 31 32 CTT Card io thorac ic Techniques and Technolog ies X
منابع مشابه
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 کاملDouble-arterial cannulation for aortic valve replacement with porcelain aorta.
We describe a new technique of aortic valve replacement (AVR) in patients with porcelain aorta. Three patients (mean age 75 years) were treated. The cardiopulmonary bypass (CPB) was established after side-graft right axillary artery and direct femoral artery cannulation. Venous drainage was obtained by atrio-caval cannulation. The procedures were performed in mild hypothermia (30 degrees C). Ce...
متن کاملPorcelain 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 کاملAortic 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 کاملBilateral 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...
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