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Deep Hypothermic Arrest for Aortic Valve Replacement in Case of Porcelain Aorta

University of Athens School of Medicine Athens Medical Center Athens, Greece

Dimitrios G Koudoumas, MD Tel: +3 210 7781921 Fax: +3 210 6108743 Email: dimitrios.koudoumas{at}gmail.com, Argyrokastrou 24–26, Goudi, Zografou 15773, Athens, Greece.

A 71-year-old man presented with severe aortic stenosis and a heavily calcified aorta. Cardiopulmonary bypass was established with arterial cannula via the distal aortic arch. Deep hypothermic circulatory arrest and retrograde cerebral perfusion were initiated for excision of the ascending aorta. A tube graft was anastomosed to the proximal aortic arch, circulation was reestablished, the aortic valve was replaced with a bioprosthesis, and proximal anastomosis to the sinotubular junction was preformed.

Key Words: Aortic Valve Stenosis • Cardiopulmonary Bypass • Circulatory Arrest • Deep Hypothermia Induced

Asian Cardiovasc Thorac Ann 2009; 17:415-416
© 2009 by SAGE Publications
DOI: 10.1177/0218492309338092