Total arch replacement with endarterectomy of the ascending aorta in a patient with aortic arch aneurysm and porcelain aorta

Hideyuki Shimizu, Yasuko Miyaki, Tsuyoshi Kaneko, Ryo Suzuki, Mikihiko Kudo, Ryohei Yozu

研究成果: Article査読

2 被引用数 (Scopus)

抄録

We describe total arch replacement for aortic arch aneurysm with a severely calcified ('porcelain') aorta. Cardiovascular surgery is challenging under such conditions because the calcified plate interferes with clamping, incising, and suturing of the aorta. We performed this surgery under hypothermic circulatory arrest with antegrade cerebral perfusion. Calcification manifested particularly in the ascending aorta and prevented the use of a needle. We exfoliated the calcified intimal plate using an elevator designed for hand surgery, and then covered both the inner and outer sides of the endarterectomized aorta with a strip of bovine pericardium to reinforce the anastomotic region and cover the rough surface. No complications developed during or after surgery. (Ann Thorac Cardiovasc Surg 2008; 14: 402-404).

本文言語English
ページ(範囲)402-404
ページ数3
ジャーナルAnnals of Thoracic and Cardiovascular Surgery
14
6
出版ステータスPublished - 2008 12 1

ASJC Scopus subject areas

  • 外科
  • 呼吸器内科
  • 循環器および心血管医学
  • 消化器病学

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