title: Aortic valve replacement through the transected aorta in a patient with aortic stenosis and a calcified ascending aorta.
abstract: This report describes a surgical approach of aortic valve replacement in a patient with a calcified ascending aorta, calcified aortic valve stenosis and coronary artery disease. The aortic valve was replaced with a 19 mm St. Jude Medical prosthetic valve through the transected aorta while the distal ascending aorta was cross-clamped at a narrow but not calcified band approximately 4.5 cm distal to the aortic anulus. These procedures were successfully done and no neurological deficit was found after surgery. The aortic valve replacement through the transected aorta may be one of the alternatives in selected patients with porcelain aortas and calcified aortic valves.
authors.affiliation: Second Department of Surgery, Yamagata University School of Medicine, 2-2-2 Iida-nishi, Yamagata 990-2331, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Watanabe
authors.forename: Y
authors.initials: Y
authors.lastname: Shimazaki
authors.forename: S
authors.initials: S
authors.lastname: Kuraoka
authors.forename: Y
authors.initials: Y
authors.lastname: Iijima
authors.forename: K
authors.initials: K
authors.lastname: Inui
authors.forename: M
authors.initials: M
authors.lastname: Miura
authors.forename: H
authors.initials: H
authors.lastname: Uchino
authors.forename: F
authors.initials: F
authors.lastname: Takeda
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D002114:Calcinosis / Q000150:complications* / Q000000981:diagnostic imaging; D003327:Coronary Disease / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D011859:Radiography