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Case Reports
. 2017 Jan;20(Supplement):S70-S72.
doi: 10.4103/0971-9784.197805.

The perceval S aortic valve implantation in patients with porcelain aorta; is this ideal option?

Nikolaos G Baikoussis  1 , Panagiotis Dedeilias  1 , Efstathia Prappa  2 , Michalis Argiriou  1
Affiliations
Case Reports

The perceval S aortic valve implantation in patients with porcelain aorta; is this ideal option?

Nikolaos G Baikoussis et al. Ann Card Anaesth. 2017 Jan.

Abstract

We would like to present in this paper a patient with severe aortic valve stenosis referred to our department for surgical aortic valve replacement. In this patient, it was intraoperatively detected an unexpected heavily calcified porcelain ascending aorta. We present the treatment options in this situation, the difficulties affronted intraoperatively, the significance of the preoperative chest computed tomography scan and the use of the Perceval S aortic valve as ideal bioprosthesis implantation. This is a self-expanding, self-anchoring, and sutureless valve with a wide indication in all patients requiring aortic bioprosthesis.

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Figures

Figure 1
Figure 1
Postoperative chest X-ray. The Perceval S valve is shown with its metal cage anchored in the aortic root (white arrows). The dilatation and the calcification are well marked in this figure (red arrows)
Figure 2
Figure 2
The calcified ascending aorta at the postoperative chest computed tomography scan (white arrows). The Perceval S valve is also shown (black arrows)
Figure 3
Figure 3
A reconstructed computed tomography. The porcelain ascending aorta and the calcification of the whole aorta (gray arrows) other than the correct position of the Perceval S valve (white arrow) are well recognized
See this image and copyright information in PMC

References

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