Apicoaortic valved conduit is a good alternative for aortic stenosis with porcelain aorta after off-pump coronary artery bypass grafting.
نویسندگان
چکیده
We report a case of aortic stenosis with porcelain aorta using an apicoaortic valved conduit after 'aortic no touch' off-pump coronary artery bypass grafting. Apicoaortic valved conduit is a good surgical option for this patient to avoid re-entry through the sternum, injury to patent graft and manipulation of the porcelain ascending aorta.
منابع مشابه
Combined transapical aortic valve implantation with coronary artery bypass grafting in a young patient with porcelain aorta.
The surgical management of porcelain aorta in patients requiring aortic valve replacement or coronary artery surgery carries a high morbidity and mortality and remains controversial. We report a successful transapical aortic valve implantation in combination with on-pump coronary artery bypass grafting in a young patient with severe aortic stenosis, left main coronary artery disease and porcela...
متن کاملAortic valve bypass surgery: midterm clinical outcomes in a high-risk aortic stenosis population.
BACKGROUND Aortic valve bypass (AVB; apicoaortic conduit) surgery relieves aortic stenosis (AS) by shunting blood from the apex of the left ventricle to the descending thoracic aorta through a valved conduit. We have performed AVB surgery as an alternative to conventional aortic valve replacement for high-risk AS patients. METHODS AND RESULTS Between 2003 and 2007, 31 high-risk AS patients we...
متن کاملCombined 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 کاملApicoaortic Valve Conduit for a Patient with Aortic Valve Stenosis and Patent Coronary Bypass Grafts Using Cardiopulmonary Bypass.
In adults over 65 years of age, aortic valve stenosis has been found to be present in 2-9% within this group. Furthermore, aortic valve replacements in patients whom have had a previous coronary artery bypass grafting surgery have a mortality rate as high as 18%. A non-conventional effective surgical approach of bypassing the aortic valve by inserting an apicoaortic valve conduit (AVC) connecti...
متن کاملOff-pump apicoaortic conduit insertion for high-risk patients with aortic stenosis.
OBJECTIVES Recently, we implanted an apicoaortic conduit off-pump in three high-risk patients with severe aortic stenosis. METHODS A muscle-coring device was utilized to create the apical outflow tract followed by insertion of a rigid apical connector. A valved conduit was then connected to the descending thoracic aorta and to the apical connector graft. RESULTS A stentless porcine bioprost...
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ورودعنوان ژورنال:
- Interactive cardiovascular and thoracic surgery
دوره 6 3 شماره
صفحات -
تاریخ انتشار 2007