Sutureless aortic valve implantation in patient with porcela
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Severe atherosclerotic calcification in the ascending aorta, also known as a “porcelain aorta,” precludes cardiac surgeons from placing an aortic cross-clamp due to the increased risk of systemic embolism and stroke. The impossibility of safely cannulating and clamping the ascending aorta due to the risk of cracking atherosclerotic plaques has generated several methods to minimize aortic manipulation. In the present report, authors support the option of sutureless valve implantation in a case of an extremely calcified (porcelain) ascending aorta, with deep hypothermic circulatory arrest (DHCA) and also without aortic cross-clamp...

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