title: Bentall procedure in a patient with severely calcified "porcelain" aorta.
abstract: Patients with severe calcified "porcelain" aorta carry a high operative risk during cardiac surgery. We report the successful case of Bentall procedure in a patient with severe porcelain aorta. A 65-year-old woman was diagnosed with aortic prosthetic valve failure and enlargement of the ascending aorta. Preoperative chest X-ray and computed tomography scan revealed heavy calcification throughout the aorta. At operation, cardiopulmonary bypass was established through the right axillary artery. The calcified aorta was transected by an oscillating saw under hypothermic circulatory arrest. Distal anastomosis was performed after endarterctomy of the calcified plate, which allowed us to complete the Bentall procedure without the postoperative bleeding.
authors.affiliation: Division of Cardiovascular Surgery, Takeda Hospital, Kyoto, Japan. tuneyosi_ca@yahoo.co.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tsuneyoshi
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Doi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yamanaka
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D020878:Device Removal; D004691:Endarterectomy / Q000379:methods; D004868:Equipment Failure; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008943:Mitral Valve / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation; D013625:Takayasu Arteritis / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014261:Tricuspid Valve / Q000601:surgery