title: Beating mitral valve replacement for a patient with porcelain aorta.
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.
authors.affiliation: Department of Cardio-Thoracic Surgery, Nagoya University Graduate School of Medicine, Tsurumaicho, Showa-ku, Nagoya 466-8550, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Toyama
authors.forename: Akihiko
authors.initials: A
authors.lastname: Usui
authors.forename: Hiroomi
authors.initials: H
authors.lastname: Murayama
authors.forename: Masaharu
authors.initials: M
authors.lastname: Yoshikawa
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ueda
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002114:Calcinosis / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods*; D004452:Echocardiography; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed