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Case Report

JCDR. 2016; 7(4): 155-157

An Alternative Aortotomy Technique for Aortic Valve Replacement in Porcelain Aorta

Mustafa Aldag, Ufuk Ciloglu, Sebnem Albeyoglu, Hakan Kutlu, Cemal Kocaaslan.


Porcelain aorta is extensive calcification of the ascending aorta that can be completely or near completely circumferential.
Here we report a case of severe aortic stenosis and left anterior descending coronary osteal stenosis in a patient
with a porcelain aorta. In this paper an alternative aortotomy approach; reverse “T” letter aortotomy incision is described
for Type IB porcelain aorta. Patient underwent aortic valve replacement in addition coronary bypass grafting via sternotomy.
The surgery and the postoperative course were uneventful and she was discharged at 7th day. This aortotomy
technique prevents unnecessary and risky manipulations of extensive calcificated porcelain aorta, provides perfect exposure,
and can be closed securely via dacron patch after aortic valve surgery. By the help of the described aortotomy
technique, AVR can be the preferred choice in patients with porcelain aorta and multiple cardiac comorbidities requiring
additional procedures, such as coronary bypass.

Key words: Porcelain aorta; aortic stenosis; aortotomy

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