TY - JOUR
T1 - Modified bypass procedure and apicoaortic conduit
T2 - Management of coronary artery disease, aortic valve stenosis and porcelain aorta
AU - Schreiber, Christian
AU - Augustin, Norbert
AU - Bauernschmitt, Robert
AU - Lange, Rüdiger
PY - 2002/12
Y1 - 2002/12
N2 - Background: In case of severely calcified ascending aorta, modified operative strategies are required in order to avoid manipulations of the aorta and minimize subsequent cerebral vascular accidents. Case Report: A 73-year-old woman, with a coronary two-vessel disease and aortic stenosis was scheduled for coronary artery bypass grafting and aortic valve replacement. Due to severe calcification of the ascending aorta including the transverse arch, neither cannulation, clamping nor incision of the aorta or its replacement was feasible. Therefore bypass operation was performed using a modified approach. After 1 month, implantation of a valved conduit between the left ventricular apex and the descending aorta through a lateral thoracotomy followed. Conclusion: Only in few cases the surgical treatment of a coronary artery disease in combination with left ventricular outflow tract obstruction and heavily calcified ascending aorta has been described. Undoubtedly, creation of an apicoaortic connection is today only indicated in the adult population in a small collective with multiple previous operations or porcelain aorta.
AB - Background: In case of severely calcified ascending aorta, modified operative strategies are required in order to avoid manipulations of the aorta and minimize subsequent cerebral vascular accidents. Case Report: A 73-year-old woman, with a coronary two-vessel disease and aortic stenosis was scheduled for coronary artery bypass grafting and aortic valve replacement. Due to severe calcification of the ascending aorta including the transverse arch, neither cannulation, clamping nor incision of the aorta or its replacement was feasible. Therefore bypass operation was performed using a modified approach. After 1 month, implantation of a valved conduit between the left ventricular apex and the descending aorta through a lateral thoracotomy followed. Conclusion: Only in few cases the surgical treatment of a coronary artery disease in combination with left ventricular outflow tract obstruction and heavily calcified ascending aorta has been described. Undoubtedly, creation of an apicoaortic connection is today only indicated in the adult population in a small collective with multiple previous operations or porcelain aorta.
KW - Aortic connector
KW - Aortic valve stenosis
KW - Apicoaortic conduit
KW - Coronary artery disease
KW - Left ventricular outflow tract obstruction
KW - Modified coronary artery bypass grafting
KW - Porcelain aorta
UR - http://www.scopus.com/inward/record.url?scp=12244291940&partnerID=8YFLogxK
U2 - 10.1007/s00059-002-2403-6
DO - 10.1007/s00059-002-2403-6
M3 - Article
C2 - 12574899
AN - SCOPUS:12244291940
SN - 0340-9937
VL - 27
SP - 795
EP - 798
JO - Herz
JF - Herz
IS - 8
ER -