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Aortic endarterectomy: a useful technique to utilize for aortic valve replacements in hostile aorta

George Jose Valooran1, Shiv Kumar Nair1, Rinett Sebastian1

  • 1Department of Cardiothoracic Surgery, Rajagiri Hospital, Chunangamvely, Aluva, Kochi, Kerala 683112 India.

Indian Journal of Thoracic and Cardiovascular Surgery
|January 14, 2021
PubMed

Insights

Surgical aortic valve replacement (AVR) is challenging with a calcified aorta. Aortic endarterectomy can be used for decalcification in select cases during AVR, as demonstrated in this procedure report.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Cardiac Surgery

Background:

  • Calcified aorta presents significant technical challenges during surgical aortic valve replacement (AVR).
  • Aortic endarterectomy is an underutilized technique for managing aortic calcification during AVR.
  • Careful patient selection is crucial for successful aortic endarterectomy combined with AVR.

Observation:

  • A case involving a patient with a calcified ascending aorta is presented.
  • The patient underwent ascending aortic endarterectomy combined with AVR.

Findings:

  • The report details the technical aspects of performing ascending aortic endarterectomy and AVR.
  • Successful decalcification and valve replacement were achieved in this complex case.

Implications:

  • Aortic endarterectomy can be a viable option for managing calcified aortas in AVR.
  • This technique may enhance the safety and efficacy of AVR in select patient populations.

Keywords:
Aortic stenosisAortic valve replacementEndarterectomy

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