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Case Reports
. 2014 Mar;18(3):396-8.
doi: 10.1093/icvts/ivt494. Epub 2013 Nov 27.

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

Giuseppe Gatti  1 , Bernardo Benussi, Fulvio Camerini, Aniello Pappalardo
Affiliations
Case Reports

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

Giuseppe Gatti et al. Interact Cardiovasc Thorac Surg. 2014 Mar.

Abstract

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 transcatheter aortic valve implantation procedures, the sutureless valve may be a valuable option for surgical units that do not dispose of transcatheter technology or a hybrid operative theatre.

Keywords: Aortic calcification; Aortic valve; Bioprosthesis; Cerebral protection; Heart valve; Replacement.

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Figures

Figure 1:
Figure 1:
The calcified ascending aorta detected by the intraoperative epiaortic ultrasonography scanning.
Figure 2:
Figure 2:
(A) The calcified ascending aorta at the postoperative chest computed tomography scan. (B) The Perceval S valve: the metal stent can be seen inside the aortic root.
See this image and copyright information in PMC

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