Abstract
Calcified aorta poses a significant technical challenge in the performance of surgical aortic valve replacement (AVR). Aortic endarterectomy is a less utilized approach and is suitable in select cases for aortic decalcification during AVR. Here, we report a case of calcified ascending aorta who underwent ascending aortic endarterectomy and AVR with the technical details of the procedure.
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Faggiano P, Frattini S, Zilioli V, et al. Prevalence of comorbidities and associated cardiac diseases in patients with valve aortic stenosis. Potential implications for the decision-making process. Int J Cardiol. 2012;159:94–9.
Osaka S, Tanaka M. Strategy for porcelain ascending aorta in cardiac surgery. Ann Thorac Cardiovasc Surg. 2018;24:57–64.
Svensson LG, Sun J, Cruz HA, Shahian DM. Endarterectomy for calcified porcelain aorta associated with aortic valve stenosis. Ann Thorac Surg. 1996;61:149–52.
Gunasekaran S, Sivaprakasam MC, Chandrasekeran GA, Vijay Shankar CS, Alagappan P, Pandi VKP. TAVI in severe aortic stenosis with porcelain aorta: first reports from India with coronary and carotid support. IHJ Cardiovasc Case Rep (CVCR). 2018;2:177–80.
Zahn R, Schiele R, Gerckens U, et al. Transcatheter aortic valve implantation in patients with “porcelain” aorta (from a Multicenter Real World Registry). Am J Cardiol. 2013;111:602–8.
Armijo G, Nombela-Franco L, Tirado-Conte G. Cerebrovascular events after transcatheter aortic valve implantation. Front Cardiovasc Med. 2018;5:104.
Mack MJ, Leon MB, Thourani VH, et al. Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients. N Engl J Med. 2019;380:1695–705.
Kudo M, Misumi T, Koizumi K. Aortotomy and endarterectomy of the ascending aorta for aortic valve replacement in a patient with porcelain aorta. Surg Today. 2005;35:1000–3.
Vogt PR, Hauser M, Scwarz U, et al. Complete thromboendarterectomy of the calcified ascending aorta and aortic arch. Ann Thorac Surg. 1999;67:457–61.
Stern A, Tunick PA, Culliford AT, et al. Protruding aortic arch atheromas: risk of stroke during heart surgery with and without aortic arch endarterectomy. Am Heart J. 1999;138:746–52.
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Valooran, G.J., Nair, S.K., Sebastian, R. et al. Aortic endarterectomy: a useful technique to utilize for aortic valve replacements in hostile aorta. Indian J Thorac Cardiovasc Surg 37, 78–81 (2021). https://doi.org/10.1007/s12055-020-01014-y
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DOI: https://doi.org/10.1007/s12055-020-01014-y