Aortic valve replacement in a patient with Takayasu's disease without cross-clamping the calcified ascending aorta.
The case of a 42-year-old female requiring surgical management of aortic regurgitation, secondary to Takayasu's disease, with a co-existing heavily calcified ascending aorta is described. In order to address aortic valve surgery with such calcific disease affecting the ascending aorta and peripheral vessels, we present a simple and safe technique that allows aortic valve replacement using a vascular intra-aortic occlusion catheter.
Athanasiou
Thanos
T
Department of Cardiothoracic Surgery, St Mary's Hospital, 70 St. Olaf's Road, London SW6 7DN, UK. tathan5253@aol.com
Kumar
Pankaj
P
Ashrafian
Hutan
H
Nair
Sujit
S
Charitou
Alex
A
Stanbridge
Rex D
RD
D000328:Adult; D001011:Aorta / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D021721:Balloon Occlusion; D002114:Calcinosis / Q000150:complications / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D013625:Takayasu Arteritis / Q000150:complications / Q000601:surgery*