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Case Reports
. 2017 Oct-Dec;20(4):447-449.
doi: 10.4103/aca.ACA_70_17.

Sutureless aortic valve implantation in patient with porcelain aorta via unclamped aorta and deep hypothermic circulatory arrest

Vagelis Boultadakis  1 , Nikolaos G Baikoussis  1 , Victoras Panagiotakopoulos  1 , Nikolaos A Papakonstantinou  1 , Polyxeni Xelidoni  2 , Stratos Anagnostou  2 , Christos Charitos  1
Affiliations
Case Reports

Sutureless aortic valve implantation in patient with porcelain aorta via unclamped aorta and deep hypothermic circulatory arrest

Vagelis Boultadakis et al. Ann Card Anaesth. 2017 Oct-Dec.

Abstract

Severe atherosclerotic calcification of the ascending aorta, the so-called porcelain aorta, precludes cardiac surgeons from placing an aortic cross-clamp and direct aortic cannulation due to the increased risk of systemic embolism and stroke. In the present report, we support the option of sutureless valve implantation in a case of a porcelain ascending aorta, with deep hypothermic circulatory arrest and also without aortic cross-clamp.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The preoperative computed tomography showing the extremely calcified aorta and the aortic valve
Figure 2
Figure 2
Intraoperative photo with the elongated aortotomy and the perceval S aortic valve implanted
Figure 3
Figure 3
The special closure of the elongated aortotomy performed in a less calcified area
See this image and copyright information in PMC

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