Abstract
Beating mitral valve replacement was performed for mitral valve stenosis in a patient with a porcelain aorta after aortic valve replacement. The 77-year-old patient had developed heart failure several times. A chest computed tomographic scan revealed severe calcification on the ascending aorta and aortic arch. A cardiopulmonary bypass was established by bicaval drainage and aortic return after epiaortic echographic evaluation of the ascending aorta. The mitral valve was successfully replaced under a beating heart.
Similar content being viewed by others
References
Ogino H, Ueda Y, Morioka K, Matsubayashi K, Nomoto T. Mitral valve repair in a patient with severe porcelain aorta. Ann Thorac Surg 1997; 64: 1179–81.
Coselli JS, Crawford ES. Aortic valve replacement in the patient with extensive calcification of the ascending aorta (the porcelain aorta). J Thorac Cardiovasc Surg 1986; 91: 184–7.
Byrne JG; Aranki SF, Cohn LH. Aortic valve operations under deep hypothermic circulatory arrest for the porcelain aorta: “No-Touch” technique. Ann Thorac Surg 1998; 65: 1313–5.
Gillinov AM, Lytle BW, Hoang V, Cosgrove DM, Banbury MK, McCarthy PM, et al. The atherosclerotic aorta at aortic valve replacement: Surgical strategies and results. J Thorac Cardiovasc Surg 2000; 120: 957–63.
Gersak B. Mitral valve repair or replacement on the beating heart. Heart Surg Forum 2000; 3: 232–7.
Wareing TH, Davila-Roman VG, Barzilai B, Murphy SF, Kouchoukos NT. Management of the severely atherosclerotic ascending aorta during cardiac operations: A strategy for detection and treatment. J Thorac Cardiovasc Surg 1992; 103: 453–62.
Katz ES, Tunick PA, Rusinek H, Ribakove G, Spencer FC, Krouzon I. Protruding aortic atheromas predict stroke in elderly patients undergoing cardiopulmonary bypass: Experience with intraoperative transesophageal echocardiography. J Am Coll Cardiol 1992; 20: 70–7.
Matsumoto Y, Watanabe G, Endo M, Sasaki H, Kasashima F, Kosugi I. Efficacy and safety of on-pump beating heart surgery for valvular disease. Ann Thorac Surg 2002; 74: 678–83.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Toyama, M., Usui, A., Murayama, H. et al. Beating mitral valve replacement for a patient with porcelain aorta. Jpn J Thorac Caridovasc Surg 52, 488–490 (2004). https://doi.org/10.1007/s11748-004-0147-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-004-0147-3