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Updated: May 30, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Porcelain Aorta and Radiation-Induced Mitral Annular Calcification Are Not Contraindications to Surgery
Joseph Okafor1, Helen Thomson1, Carole Ridge1
1Heart, Vascular, and Thoracic Institute, Cleveland Clinic London, London, United Kingdom.
This case study presents a novel surgical approach for severe aortic and mitral valve disease in a patient with a porcelain aorta. Replacing the aorta during circulatory arrest enabled prosthetic valve replacement, offering a viable treatment option.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Disease
- Thoracic Surgery
Background:
- Radiation therapy can lead to severe mixed aortic and mitral valve disease.
- Complications include aortomitral continuity thickening, mitral annular calcification, and porcelain aorta.
- These conditions present challenges for standard transcatheter interventions.
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