title: [Endarterectomy and aortic valve replacement in a patient with severely calcified ascending aortic root].
abstract: A severely calcified, so-called, "porcelain" aorta may complicate aortic valve replacement (AVR). We report a case of successful AVR with an extensively calcified aortic root, involving the right coronary ostium. A 73-year-old female presented with a stenotic aortic valve with the pressure gradient of 60 mmHg. Computed tomography demonstrated extensive calcification of the ascending aortic root. Coronary angiogram showed 90% right coronary artery ostial stenosis. We endarterectomized the ascending aorta, the Valsalva sinus and the right coronary ostium, which enabled AVR with a 19 mm CarboMedics valve. These procedures might be a favorable option for the treatment of porcelain aorta and calcified aortic valve.
authors.affiliation: Department of Cardiovascular Surgery, Nakadohri General Hospital, Akita, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Mitsunaga
authors.forename: S
authors.initials: S
authors.lastname: Ohuchi
authors.forename: T
authors.initials: T
authors.lastname: Ohkubo
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000209:etiology / Q000601:surgery; D002114:Calcinosis / Q000601:surgery*; D004691:Endarterectomy; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans