Unexpected porcelain aorta after sternotomy for aortic valve replacement and coronary artery bypass surgery: aortic balloon valvuloplasty as a bail-out procedure

Can J Cardiol. 2011 Nov-Dec;27(6):868.e1-3. doi: 10.1016/j.cjca.2011.09.016.

Abstract

We describe the case of a man requiring aortic valve replacement and coronary artery bypass grafting in whom a porcelain aorta was detected at surgery. Two coronary artery bypass grafts were done on a heart beating under cardiopulmonary bypass (CPB). Weaning from CPB was impossible owing to the untouched aortic stenosis. A balloon aortic valvuloplasty was performed and CPB successfully weaned. Transapical aortic valve implantation was successfully performed 3 weeks later.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta, Thoracic / diagnostic imaging
  • Aortic Diseases / complications
  • Aortic Diseases / diagnosis*
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / surgery*
  • Calcinosis / diagnosis*
  • Catheterization
  • Coronary Artery Bypass*
  • Coronary Stenosis / complications
  • Coronary Stenosis / surgery*
  • Diagnosis, Differential
  • Echocardiography
  • Heart Valve Prosthesis*
  • Humans
  • Incidental Findings
  • Male
  • Postoperative Period
  • Radiography, Thoracic
  • Sternotomy*