Abstract
Cardiac surgery in patients scheduled for combined single or multiple valve and CABG surgery with preoperatively undetected porcelain aorta is challenging. Different surgical strategies may address this problem. Abortion of the initial operation with subsequent interventional therapy and hypothermic circulatory arrest offer clampless treatment options in these patients.
Highlights
Background/Introduction Cardiac surgery in patients scheduled for combined single or multiple valve and CABG surgery with preoperatively undetected porcelain aorta is challenging
Aims/Objectives The aim of this retrospective study is to characterize patients with preoperatively undetected porcelain aorta scheduled for combined single or multiple valve and CABG surgery that were treated with hypothermic circulatory arrest during operation addressing the porcelain aorta and to describe the outcome
From 01/2011 to 04/2015, 19 patients (74.8 ± 7.4years, 39% female) with preoperatively undetected porcelain aorta and combined single or multiple valve and CABG surgery were observed. 15 patients (79%) presents with aortic valve pathology and CAD and 5 patients (26%) with aortic valve pathology ± CAD and mitral or tricuspid valve pathologies
Summary
Background/Introduction Cardiac surgery in patients scheduled for combined single or multiple valve and CABG surgery with preoperatively undetected porcelain aorta is challenging. “No touch” technique and hypothermic circulatory arrest for porcelain aorta in combined valve surgery R Leyh*, C Bening, C Schimmer, M Oezkur, A Gorski, K Hamouda From World Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh Edinburgh, UK.
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