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

Vagelis Boultadakis1, Nikolaos G Baikoussis1, Victoras Panagiotakopoulos1, Nikolaos A Papakonstantinou1, Polyxeni Xelidoni2, Stratos Anagnostou2, Christos Charitos1
1 Department of Cardiac Surgery, Extracorporeal Circulation Unit, Evangelismos General Hospital of Athens, Athens, Greece
2 Anaesthesiology Department, Extracorporeal Circulation Unit, Evangelismos General Hospital of Athens, Athens, Greece

Correspondence Address:
Nikolaos G Baikoussis
45-47, Ypsilantou Street, Kolonaki, 10676 Athens
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_70_17

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Year : 2017  |  Volume : 20  |  Issue : 4  |  Page : 447-449

 
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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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Vagelis Boultadakis1, Nikolaos G Baikoussis1, Victoras Panagiotakopoulos1, Nikolaos A Papakonstantinou1, Polyxeni Xelidoni2, Stratos Anagnostou2, Christos Charitos1
1 Department of Cardiac Surgery, Extracorporeal Circulation Unit, Evangelismos General Hospital of Athens, Athens, Greece
2 Anaesthesiology Department, Extracorporeal Circulation Unit, Evangelismos General Hospital of Athens, Athens, Greece

Correspondence Address:
Nikolaos G Baikoussis
45-47, Ypsilantou Street, Kolonaki, 10676 Athens
Greece
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_70_17

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
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  Sitemap | Feedback | Disclaimer | Privacy Notice | What's New  
  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008