title: Deep hypothermic arrest for aortic valve replacement in case of porcelain aorta.
abstract: A 71-year-old man presented with severe aortic stenosis and a heavily calcified aorta. Cardiopulmonary bypass was established with arterial cannula via the distal aortic arch. Deep hypothermic circulatory arrest and retrograde cerebral perfusion were initiated for excision of the ascending aorta. A tube graft was anastomosed to the proximal aortic arch, circulation was reestablished, the aortic valve was replaced with a bioprosthesis, and proximal anastomosis to the sinotubular junction was preformed.
authors.affiliation: University of Athens School of Medicine, Athens Medical Center, Athens, Greece.
authors.forename: Dimitrios C
authors.initials: DC
authors.lastname: Iliopoulos
authors.forename: Aris-Rezar
authors.initials: AR
authors.lastname: Deveja
authors.forename: Vasilios
authors.initials: V
authors.lastname: Satratzemis
authors.forename: Dimitrios G
authors.initials: DG
authors.lastname: Koudoumas
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation; D002114:Calcinosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D002560:Cerebrovascular Circulation; D050792:Circulatory Arrest, Deep Hypothermia Induced; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D010477:Perfusion; D012720:Severity of Illness Index; D016896:Treatment Outcome