title: Combined transapical aortic valve implantation with coronary artery bypass grafting in a young patient with porcelain aorta.
abstract: The surgical management of porcelain aorta in patients requiring aortic valve replacement or coronary artery surgery carries a high morbidity and mortality and remains controversial. We report a successful transapical aortic valve implantation in combination with on-pump coronary artery bypass grafting in a young patient with severe aortic stenosis, left main coronary artery disease and porcelain aorta. Transapical aortic valve implantation is a minimally invasive surgical alternative that can be safely performed in combination with coronary artery bypass grafting and may become the treatment of choice, even in young patients with porcelain aorta.
authors.affiliation: First Division of Cardiac Surgery and Transplantation Services, Onassis Cardiac Surgery Centre, Athens, Greece. colettistheo@yahoo.gr
authors.forename: Theofilos N
authors.initials: TN
authors.lastname: Kolettis
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Spargias
authors.forename: George T
authors.initials: GT
authors.lastname: Stavridis
mesh_terms: D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002114:Calcinosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged