ALTERNATIVE METHOD OF CANNULATION FOR AORTIC VALVE REPLACEMENT IN PATIENT WITH PORCELAIN AORTA. CLINICAL CASE
https://doi.org/10.29001/2073-8552-2017-32-3-67-70
Abstract
Atherosclerotic damage of the aortic root and ascending aorta, especially in case of such extreme manifestation as porcelain aorta, is a major problem in cardiac surgery. This pathology is associated with potential thromboembolic complications and aortic dissection during intraoperative manipulation of the aorta, in particular, in case of standard cannulation technique. This situation requires surgeon to use nonstandard approaches to tactics of surgical intervention and cardiopulmonary bypass. This article presents a clinical case of intraoperatively detected porcelain aorta and describes an alternative technique for cardiopulmonary bypass connections to minimize complications.
About the Authors
B. N. Kozlov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk;
Siberian State Medical University, Ministry of Health of Russian Federation, Tomsk
Russian Federation
Russian Federation
G. G. Nasrashvili
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk
Russian Federation
Russian Federation
D. S. Panfilov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk
Russian Federation
Russian Federation
M. S. Kuznecov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk
Russian Federation
Russian Federation
S. L. Miheev
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk
Russian Federation
Russian Federation
V. M. Shipulin
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk
Russian Federation
Russian Federation
References
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Review
For citations:
Kozlov B.N., Nasrashvili G.G., Panfilov D.S., Kuznecov M.S., Miheev S.L., Shipulin V.M. ALTERNATIVE METHOD OF CANNULATION FOR AORTIC VALVE REPLACEMENT IN PATIENT WITH PORCELAIN AORTA. CLINICAL CASE. Siberian Journal of Clinical and Experimental Medicine. 2017;32(3):67-70. (In Russ.) https://doi.org/10.29001/2073-8552-2017-32-3-67-70
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