Abstract
Patients with a calcified "porcelain" aorta may also have aortic valve stenosis, necessitating aortic valve replacement to prevent cerebral complications. However, a porcelain aorta can be difficult to open, and ascending aorta repair sutures are almost impossible to insert in a calcified plate. We devised a method of aortotomy using a small oscillating saw, which allowed us to incise the aortic wall cleanly without destruction or the formation of debris. After partial endarterectomy of the calcified plate with aortotomy, closure of the aorta was buttressed with bovine pericardium. During the endarterectomy, we used an elevator designed for hand surgery to exfoliate the calcified intimal plate.
| Original language | English |
|---|---|
| Pages (from-to) | 1000-1003 |
| Number of pages | 4 |
| Journal | Surgery Today |
| Volume | 35 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - 2005 Nov |
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Keywords
- Endarterectomy
- Oscillating saw
- Porcelain aorta
ASJC Scopus subject areas
- Surgery
Cite this
Aortotomy and endarterectomy of the ascending aorta for aortic valve replacement in a patient with porcelain aorta. / Kudo, Mikihiko; Misumi, Takahiko; Koizumi, Kiyoshi.
In: Surgery Today, Vol. 35, No. 11, 11.2005, p. 1000-1003.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Aortotomy and endarterectomy of the ascending aorta for aortic valve replacement in a patient with porcelain aorta
AU - Kudo, Mikihiko
AU - Misumi, Takahiko
AU - Koizumi, Kiyoshi
PY - 2005/11
Y1 - 2005/11
N2 - Patients with a calcified "porcelain" aorta may also have aortic valve stenosis, necessitating aortic valve replacement to prevent cerebral complications. However, a porcelain aorta can be difficult to open, and ascending aorta repair sutures are almost impossible to insert in a calcified plate. We devised a method of aortotomy using a small oscillating saw, which allowed us to incise the aortic wall cleanly without destruction or the formation of debris. After partial endarterectomy of the calcified plate with aortotomy, closure of the aorta was buttressed with bovine pericardium. During the endarterectomy, we used an elevator designed for hand surgery to exfoliate the calcified intimal plate.
AB - Patients with a calcified "porcelain" aorta may also have aortic valve stenosis, necessitating aortic valve replacement to prevent cerebral complications. However, a porcelain aorta can be difficult to open, and ascending aorta repair sutures are almost impossible to insert in a calcified plate. We devised a method of aortotomy using a small oscillating saw, which allowed us to incise the aortic wall cleanly without destruction or the formation of debris. After partial endarterectomy of the calcified plate with aortotomy, closure of the aorta was buttressed with bovine pericardium. During the endarterectomy, we used an elevator designed for hand surgery to exfoliate the calcified intimal plate.
KW - Endarterectomy
KW - Oscillating saw
KW - Porcelain aorta
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UR - http://www.scopus.com/inward/citedby.url?scp=27544481853&partnerID=8YFLogxK
U2 - 10.1007/s00595-005-3058-8
DO - 10.1007/s00595-005-3058-8
M3 - Article
C2 - 16249862
AN - SCOPUS:27544481853
VL - 35
SP - 1000
EP - 1003
JO - Surgery Today
JF - Surgery Today
SN - 0941-1291
IS - 11
ER -