Abstract
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.
Similar content being viewed by others
References
Svensson LG, Sun J, Cruz HA, Shahian DM: Endarterectomy for calcified porcelain aorta associated with aortic valve stenosis. Ann Thorac Surg 1996; 61: 149–52.
Byrne JG, Aranki SF, Cohn LH: Aortic valve operations under deep hypothermic circulatory arrest for the porcelain aorta: “No-touch technique”. Ann Thorac Surg 1998; 65: 1313–5.
Vogt PR, Hauser M, Schwaiz U, Jenni R, Luchat ML, Zund G, et al. Complete endarterectomy of the calcified ascending aorta and arch. Ann Thorac Surg 1998; 65: 1313–5.
Sabik JF, Lytle BW, McCarthy PM, Cosgrove DM, Axillary artery an alternative site of arterial cannulation for patients with extensive aortic and peripheral vascular disease. J Thorac Cardiovasc Surg 1995; 109: 885–91.
Cosgrove DM. Management of the calcified aorta: an alternative method of occlusion. Ann Thorac Surg 1983; 36: 718–9.
Wareing TH, Davila-Roman VG, Barzilai B, Murphy SF, Kouchoukos NT. Management of the severely atherosclerotic ascending aorta during cardiac operations: a strategy for detection and treatment. J Thorac Cardiovasc Surg 1992; 103: 453–62.
King RC, Kanithanon RC, Schockey KS, Spotnitz WP, Tribble CG, Kron IL. Replacing the atherosclerotic aorta is a high risk procedure. Ann Thorac Surg 1998; 66: 396–401.
Gillinov AM, Lytle BW, Hoang V, Cosgrove DM, Banbury MK, McCarthy PM, et al. The atheroscleroic aorta at aortic valve replacement surgical strategies and results. J Thorac Cardiovasc Surg 2000; 120: 957–65.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Okamoto, H., Fujimoto, K., Tamenishi, A. et al. Aortic valve replacement in a heavily calcified “porcelain” aorta. Jpn J Thorac Caridovasc Surg 49, 453–456 (2001). https://doi.org/10.1007/BF02913912
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02913912