Document Detail

Apico-brachiocephalic artery bypass for aortic stenosis with porcelain aorta.
MedLine Citation:
PMID:  20103361     Owner:  NLM     Status:  MEDLINE    
Apicoaortic bypass for left ventricular outflow tract obstruction has been performed with acceptable mid-term mortality. However, sometimes it is difficult to anastomose the distal end of the conduit to the calcified descending aorta in patients with a porcelain aorta. We report an aortic non-touch modification of the apicoaortic bypass in an 80-year-old woman with valvular aortic stenosis and a porcelain aorta extending from the ascending to abdominal aorta. We performed apico-brachiocephalic artery bypass under circulatory arrest with deep hypothermia. This procedure may become a useful surgical option for patients with a severe porcelain aorta.
Shuji Shimizu; Mikizo Nakai; Atsushi Itoh; Ko Yoshizumi; Yoshiki Ochi; Masahiro Okada; Shunji Sano
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  621-3     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical / methods
Aorta, Thoracic
Aortic Diseases / complications,  surgery*
Aortic Valve Stenosis / diagnosis,  surgery*
Blood Vessel Prosthesis Implantation / methods*
Brachiocephalic Trunk / surgery*
Calcinosis / surgery*
Heart Valve Prosthesis Implantation / methods*
Heart Ventricles / surgery*
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Tomography, X-Ray Computed
Ventricular Outflow Obstruction / diagnosis,  surgery*

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