Porcelain aorta: a new indication for on-pump beating heart mitral valve replacement

doi:10.5606/tgkdc.dergisi.2012.020

Kerem Yay, Muhammet Onur Hanedan, Veysel Başar, Ufuk Tütün, Garip Altıntaş, Ferit Çiçekçioğlu, Salih Fehmi Katırcıoğlu

Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara

DOI : 10.5606/tgkdc.dergisi.2012.020

Conventionally, mitral valve replacement (MVR) is performed under cardioplegic arrest. A 69-years-old male patient was admitted to our clinic with severe dyspnea, orthopnea and palpitation. Transthoracic echocardiography revealed fibro-calcified mitral valve stenosis. Without cross-clamping the aorta, beating heart MVR under cardiopulmonary bypass (CPB) was performed. Since no dissection of the ascending aorta is performed, the risks of injury and embolic complications are minimized. Porcelain aorta with the mitral valve disease is a new indication for beating heart MVR under CPB.

Keywords : Beating heart; mitral valve replacement; porcelain aorta

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