Baba H, Umesue M, Matsui K. Combined aortic valve replacement and coronary artery bypass grafting for a calcified ascending aorta.
Gen Thorac Cardiovasc Surg 2012;
60:228-31; discussion 232. [PMID:
22451146 DOI:
10.1007/s11748-011-0893-y]
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Abstract
Although a severely calcified ascending aorta is encountered infrequently, it presents formidable problems during cardiac surgery. We describe a case of severe aortic valve stenosis and coronary artery disease combined with a severely calcified ascending aorta. The patient was an 80-year-old man with a calcified ascending aorta. He successfully underwent an aortic valve replacement and a single coronary artery bypass graft (CABG) using a saphenous vein graft with the proximal end connected on a Dacron patch, which was used for aortoplasty of the calcified plate along the aortotomy. These procedures were performed under moderate hypothermia with aortic clamping. This patch aortoplasty can be a useful alternative in cases that require aortotomy and proximal anastomoses of a CABG on a calcified ascending aorta.
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