The presence of severe porcelain aorta predisposes to aortic injury and distal embolization when aorta is cannulated and cross-clamped for undergoing cardiac operations. A traditional aortic cross-clamping in such patients may induce cerebral embolization of aortic debris or produce a point of origin of dissection. Three different surgical techniques were used: 1) the innominate artery was cannulated and the ascending aorta was occluded internally, using a forward occluding balloon in one patient undergoing aortic valve replacement and myocardial revascularization; 2) the axillary artery was cannulated and aortic valve replacement under deep hypothermic circulatory arrest was undertaken in another patient; 3) the third patient underwent axillary artery and bicaval cannulation, and on-pump/beating heart post-infarctual interventricular septal defect closure associated with tricuspid valve repair.

Strategies of surgical management in patients with severe porcellain aorta undergoing cardiac operations / Edvin Prifti; Massimo Bonacchi; Giacomo Frati; Piero Proietti; Arben Baboci and Marzia Lacche.. - In: COR EUROPAEUM. - ISSN 0939-8147. - STAMPA. - Cor Europeum 2000, 8/4;:(2000), pp. 34-36.

Strategies of surgical management in patients with severe porcellain aorta undergoing cardiac operations.

BONACCHI, MASSIMO;
2000

Abstract

The presence of severe porcelain aorta predisposes to aortic injury and distal embolization when aorta is cannulated and cross-clamped for undergoing cardiac operations. A traditional aortic cross-clamping in such patients may induce cerebral embolization of aortic debris or produce a point of origin of dissection. Three different surgical techniques were used: 1) the innominate artery was cannulated and the ascending aorta was occluded internally, using a forward occluding balloon in one patient undergoing aortic valve replacement and myocardial revascularization; 2) the axillary artery was cannulated and aortic valve replacement under deep hypothermic circulatory arrest was undertaken in another patient; 3) the third patient underwent axillary artery and bicaval cannulation, and on-pump/beating heart post-infarctual interventricular septal defect closure associated with tricuspid valve repair.
2000
Cor Europeum 2000, 8/4;
34
36
Edvin Prifti; Massimo Bonacchi; Giacomo Frati; Piero Proietti; Arben Baboci and Marzia Lacche.
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Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/700545
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