In cases of severe atherosclerosis of the ascending aorta, alterations in the standard surgical technique are mandatory. We report mitral valve replacement and coronary artery bypass grafting in a patient with a severely atherosclerotic aorta. Cardiopulmonary bypass was conducted via an arterial cannula in the femoral artery and two single venous cannulas. Coronary artery bypass grafting was performed using bilateral internal thoracic arteries with beating heart in normothermia. The mitral valve was replaced with a mechanical prosthesis during hypothermic fibrillatory arrest.
Get full access to this article
View all access options for this article.
References
1.
MillsNLEversonCT. Atherosclerosis of the ascending aorta and coronary artery bypass. Pathology, clinical correlates, and operative management. J Thorac Cardiovasc Surg1991;102:546–53.
2.
KalimiRGraverLMPalazzoRS. A novel approach to coronary revascularization in patients with severely diseased aorta. Tex Heart Inst J2000;27:106–9.
3.
ErdilNAtesSDemirkilicUTatarHSagC. Coronary-coronary bypass using vein graft on a beating heart in a patient with porcelain aorta. Tex Heart Inst J2002;29:54–5.
4.
BittnerHBSavittMA. Management of porcelain aorta and calcified great vessels in coronary artery bypass grafting with off-pump and no-touch technology. Ann Thorac Surg2001;72:1378–80.
5.
WareingTHDavila-RomanVGBarzilaiBMurphySFKouchoukosNT. Management of the severely atherosclerotic ascending aorta during cardiac operations. A strategy for detection and treatment. J Thorac Cardiovasc Surg1992;103:453–62.
6.
PraegerPISombergED. Acute mitral valve regurgitation with severe calcification of aorta. Tex Heart Inst J1993;20:130–1.
7.
ToyamaMUsuiAMurayamaHYoshikawaMUedaY. Beating mitral valve replacement for a patient with porcelain aorta. Jpn J Thorac Cardiovasc Surg2004;52:488–90.
8.
OginoHUedaYMoriokaKMatsubayashiKNomotoT. Mitral valve repair in a patient with severe porcelain aorta. Ann Thorac Surg1997;64:1179–81.
