Simultaneous apicoaortic conduit placement and mitral valve replacement in an adolescent with porcelain aorta, aortic stenosis, and mitral stenosis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19699941.
- Also identified by DOI 10.1016/j.athoracsur.2009.01.035.
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Abstract
We describe the treatment of a 16-year-old girl with calcific aortic stenosis, porcelain aorta, and calcific mitral stenosis with insufficiency using a valved apicoaortic conduit and mitral valve prosthesis. Both valve replacements were porcine bioprostheses, and the apicoaortic conduit was implanted without the use of cardiopulmonary bypass. In cases in which the degree of aortic calcification pre-empts manipulation of the coronary ostia, an apicoaortic conduit may offer a viable solution to improve left ventricular outflow obstruction.
Medical subject headings
- Aorta, Thoracic
- Aortic Diseases
- Aortic Valve Stenosis
- Bioprosthesis
- Blood Vessel Prosthesis Implantation
- Calcinosis
- Heart Defects, Congenital
- Heart Valve Prosthesis Implantation
- Mitral Valve Insufficiency
- Mitral Valve Stenosis
- Ventricular Outflow Obstruction