title: Simultaneous apicoaortic conduit placement and mitral valve replacement in an adolescent with porcelain aorta, aortic stenosis, and mitral stenosis.
abstract: We describe the treatment of a 16-year-old girl with calcific aortic stenosis, porcelain aorta, and calcific mitral stenosis with insufficiency using a valved apicoaortic conduit and mitral valve prosthesis. Both valve replacements were porcine bioprostheses, and the apicoaortic conduit was implanted without the use of cardiopulmonary bypass. In cases in which the degree of aortic calcification pre-empts manipulation of the coronary ostia, an apicoaortic conduit may offer a viable solution to improve left ventricular outflow obstruction.
authors.affiliation: Section of Cardiothoracic Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202-5123, USA.
authors.forename: Jeremy L
authors.initials: JL
authors.lastname: Herrmann
authors.forename: Mark
authors.initials: M
authors.lastname: Ruzmetov
authors.forename: Mark D
authors.initials: MD
authors.lastname: Rodefeld
authors.forename: Mark H
authors.initials: MH
authors.lastname: Hoyer
authors.forename: John W
authors.initials: JW
authors.lastname: Brown
mesh_terms: D000293:Adolescent; D001013:Aorta, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002114:Calcinosis / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D013625:Takayasu Arteritis / Q000175:diagnosis / Q000601:surgery; D014694:Ventricular Outflow Obstruction / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*