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Cirugía Cardiaca en México

ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.
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2019, Number 2

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Cir Card Mex 2019; 4 (2)

Aortic endoluminal occlusion: a technique for porcelain aorta cross-clamping

Orozco-Hernández EJ, Prior-González OA, Torres-Herrera JA, Ramírez-Valdivia LA
Full text How to cite this article

Language: English
References: 11
Page: 73-75
PDF size: 171.82 Kb.


Key words:

Aortic cannulation, Aortic endoclamp, Aortic surgery, Foley catheter, Porcelain aorta.

ABSTRACT

The incidence of severe aortic atheromatous disease (porcelain aorta) varies from a 14 to a 22%. Surgical handling in this scenario carries a high morbidity and mortality. A large part of these patients presents with systemic arteriopathy, which precludes aortic cannulation of femoral arteries. We describe the use of innominate artery for cannulation, and endoluminal occlusion of ascending aorta for cardiopulmonary bypass in two cases, using a Foley catheter.


REFERENCES

  1. Leyh RG, Bartels C, Nötzold A, Sievers H-H. Management of Porcelain AortaDuring Coronary Artery Bypass Grafting. Ann Thorac Surg 1999;67:986–8.

  2. Mickleborough LL, Walker PM, Takagi Y, Ohashi M, Ivanov J, Tamariz M. Riskfactors for stroke in patients undergoing coronary artery bypass grafting. J ThoracCardiovasc Surg 1996;112:1250-8.

  3. Blauth CI, Cosgrove DM, Webb BW, et al. Atheroembolism from the ascendingaorta. An emerging problem in cardiac surgery. J Thorac Cardiovasc Surg1992;103:1104-11.

  4. Amorim PA, Penov K, Lehmkuhl L, Haensig M, Mohr FW, Rastan AJ. Not allporcelain is the same: classification of circular aortic calcifications (porcelainaorta) according to the impact on therapeutic approach. Thorac Cardiovasc Surg2013;61:559-63.

  5. Nishi H, Mitsuno M, Ryomoto M, Miyamoto Y. Comprehensive approach forclamping severely calcified ascending aorta using computed tomography. InteractCardiovasc Thorac Surg 2010;10:18-20.

  6. Byrne JG, Aranki SF, Cohn LH. Aortic valve operations under deep hypothermiccirculatory arrest for the porcelain aorta: “no-touch” technique. Ann Thorac Surg1998;65:1313-5.

  7. Takami Y, Tajima K, Terazawa S, Okada N, Fujii K, Sakai Y. Safer aortic crossclampingduring short-term moderate hypothermic circulatory arrest for cardiacsurgery in patients with a bad ascending aorta. J Thorac Cardiovasc Surg2009;137:875-80.

  8. Cooley DA, Lopez RM, Absi TS. Apicoaortic conduit for left ventricular outflowtract obstruction: revisited. Ann Thorac Surg 2000;69:1511-4.

  9. Shimizu S, Nakai M, Itoh A, Yoshizumi K, Ochi Y, Okada M, et al. Apico-brachiocephalicartery bypass for aortic stenosis with porcelain aorta. Ann Thorac Surg.2010;89:621-3.

  10. Cosgrove DM. Management of the calcified aorta: an alternative method of occlusion.Ann Thorac Surg 1983;36:718-19.

  11. Ooi A, Iyenger S, Langley SM, Haw MP. Endovascular clamping of porcelain aortain aortic valve surgery using Foley Catheter. Heart Lung Circ 2006;15:194-6




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Cir Card Mex. 2019;4