Replacement of the heavily calcified ascending aorta in aortic valve replacement

Kazuhisa Matsumoto; Yosuke Hisashi; Yutaka Imoto

doi:10.1177/0218492314539949

Replacement of the heavily calcified ascending aorta in aortic valve replacement

Asian Cardiovasc Thorac Ann. 2015 Mar;23(3):349-52. doi: 10.1177/0218492314539949. Epub 2014 Jun 13.

Authors

Kazuhisa Matsumoto¹, Yosuke Hisashi², Yutaka Imoto²

Affiliations

¹ Department of Cardiovascular and Gastroenterological Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan kazuhisa@m3.kufm.kagoshima-u.ac.jp.
² Department of Cardiovascular and Gastroenterological Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

PMID: 24928643
DOI: 10.1177/0218492314539949

Abstract

A totally calcified ascending aorta prevents aortic crossclamping and aortotomy during aortic valve replacement, and replacement of the ascending aorta is a valid option in these cases. We describe a simple technique for calcified ascending aorta replacement using the Cavitron Ultrasonic Surgical Aspirator. This can be used in aortic endarterectomy for removal of the calcified plaque in the anastomotic part.

Keywords: Aortic diseases; aortic valve stenosis; arteriosclerosis; calcinosis; heart valve prosthesis implantation.

MeSH terms

Aged
Aorta / surgery*
Aortic Diseases / pathology
Aortic Diseases / surgery*
Aortic Valve / surgery*
Aortic Valve Stenosis / surgery*
Calcinosis / surgery
Comorbidity
Endarterectomy / psychology*
Heart Valve Prosthesis Implantation / methods
Humans
Male
Treatment Outcome