title: Combined aortic valve replacement and coronary artery bypass grafting for a calcified ascending aorta.
abstract: Although a severely calcified ascending aorta is encountered infrequently, it presents formidable problems during cardiac surgery. We describe a case of severe aortic valve stenosis and coronary artery disease combined with a severely calcified ascending aorta. The patient was an 80-year-old man with a calcified ascending aorta. He successfully underwent an aortic valve replacement and a single coronary artery bypass graft (CABG) using a saphenous vein graft with the proximal end connected on a Dacron patch, which was used for aortoplasty of the calcified plate along the aortotomy. These procedures were performed under moderate hypothermia with aortic clamping. This patch aortoplasty can be a useful alternative in cases that require aortotomy and proximal anastomoses of a CABG on a calcified ascending aorta.
authors.affiliation: Department of Cardiovascular Surgery, Matsuyama Red Cross Hospital, 1 Bunkyo-cho, Matsuyama, Ehime 790-8524, Japan. hironbab@heart.med.kyushu-u.ac.jp
authors.forename: Hironori
authors.initials: H
authors.lastname: Baba
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Umesue
authors.forename: Kanzi
authors.initials: K
authors.lastname: Matsui
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods; D003324:Coronary Artery Disease / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D061205:Vascular Calcification / Q000601:surgery*