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  • Title: Apico-brachiocephalic artery bypass for aortic stenosis with porcelain aorta.
    Author: Shimizu S, Nakai M, Itoh A, Yoshizumi K, Ochi Y, Okada M, Sano S.
    Journal: Ann Thorac Surg; 2010 Feb; 89(2):621-3. PubMed ID: 20103361.
    Abstract:
    Apicoaortic bypass for left ventricular outflow tract obstruction has been performed with acceptable mid-term mortality. However, sometimes it is difficult to anastomose the distal end of the conduit to the calcified descending aorta in patients with a porcelain aorta. We report an aortic non-touch modification of the apicoaortic bypass in an 80-year-old woman with valvular aortic stenosis and a porcelain aorta extending from the ascending to abdominal aorta. We performed apico-brachiocephalic artery bypass under circulatory arrest with deep hypothermia. This procedure may become a useful surgical option for patients with a severe porcelain aorta.
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