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Combined aortic valve replacement and coronary artery bypass grafting for a calcified ascending aorta

Hironori Baba1, Masayoshi Umesue, Kanzi Matsui

  • 1Department of Cardiovascular Surgery, Matsuyama Red Cross Hospital, 1 Bunkyo-cho, Matsuyama, Ehime 790-8524, Japan. hironbab@heart.med.kyushu-u.ac.jp

General Thoracic and Cardiovascular Surgery
|March 28, 2012
PubMed

Insights

Severe aortic valve stenosis and coronary artery disease in an 80-year-old man with a calcified aorta were successfully treated. Patch aortoplasty provided a viable solution for aortotomy and coronary artery bypass graft anastomosis on the calcified ascending aorta.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Severely calcified ascending aorta presents significant challenges in cardiac surgery.
  • Aortic valve stenosis and coronary artery disease often coexist, requiring complex interventions.

Observation:

  • An 80-year-old male patient presented with severe aortic valve stenosis and coronary artery disease.
  • The patient had a severely calcified ascending aorta, complicating surgical access.

Findings:

  • The patient successfully underwent aortic valve replacement and a single coronary artery bypass graft (CABG).
  • A Dacron patch was utilized for aortoplasty of the calcified ascending aorta during the aortotomy.
  • The proximal end of the saphenous vein graft for CABG was connected to this Dacron patch.

Implications:

  • Patch aortoplasty is a valuable technique for managing aortotomy and proximal CABG anastomoses in patients with calcified ascending aortas.
  • This approach offers a potential solution for complex cardiac surgeries involving severe aortic calcification.
  • The described technique may improve outcomes for patients requiring combined aortic valve and coronary artery bypass procedures.

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