Mukesh K, Bashi V. Aortic valve replacement in porcelain aorta-a novel technique for endoaortic occlusion.
Indian J Thorac Cardiovasc Surg 2019;
35:599-602. [PMID:
33061062 DOI:
10.1007/s12055-019-00846-7]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 05/29/2019] [Accepted: 06/02/2019] [Indexed: 11/25/2022] Open
Abstract
Aortic valve surgery invariably becomes a high-risk, challenging procedure when there is extensive calcification of the ascending aorta which precludes safe cross-clamping. Very few case reports of performing aortic valve surgery in this condition with a non-cross-clamping technique of using endoaortic occlusion have been reported. We describe and recommend a non-cross-clamping technique of using a semi-compliant polyurethane balloon catheter (CODA balloon, Cook Incorporated, Bloomington, IN) and report its successful outcome in a patient, with porcelain aorta, who underwent aortic valve replacement.
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