open access

Vol 67, No 7 (2009)
Other
Published online: 2009-07-17
Submitted: 2012-12-28
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Case report
Apicoaortic valved conduit as an alternative metod of surgical treatment of aortic stenosis – a case report

Tomasz Hirnle, Bożena Sobkowicz, Grzegorz Juszczyk, Wawrzyniec Janiszewski, Piotr Jakubów, Robert Trzciński, Grzegorz Hirnle, Iwona Dmitruk, Anna Lewczuk, Kinga Fiedorczuk
Kardiol Pol 2009;67(7):765-768.

open access

Vol 67, No 7 (2009)
Other
Published online: 2009-07-17
Submitted: 2012-12-28

Abstract

A case of a 73-year-old patient with critical aortic stenosis, porcelain aorta and occluded femoral arteries is presented. We performed apico-aortic valved conduit (A-AVC) without cardiopulmonary bypass (CPB). Hegar dilator inserted through the apex into the left ventricle allowed anastomosis of dacron tube to the apex. Valved conduit was anastomosed to the descending aorta. Both tubes were connected. Before the operation, maximal gradient through the valve was 95, after operation dropped to 33 mmHg. This method of apical anastomosis allowed to perform A-AVC without CPB in a patient with extremly high peri-operative risk while using CPB.

Abstract

A case of a 73-year-old patient with critical aortic stenosis, porcelain aorta and occluded femoral arteries is presented. We performed apico-aortic valved conduit (A-AVC) without cardiopulmonary bypass (CPB). Hegar dilator inserted through the apex into the left ventricle allowed anastomosis of dacron tube to the apex. Valved conduit was anastomosed to the descending aorta. Both tubes were connected. Before the operation, maximal gradient through the valve was 95, after operation dropped to 33 mmHg. This method of apical anastomosis allowed to perform A-AVC without CPB in a patient with extremly high peri-operative risk while using CPB.
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Keywords

aortic stenosis; apico-aortic valved conduit

About this article
Title

Case report
Apicoaortic valved conduit as an alternative metod of surgical treatment of aortic stenosis – a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 67, No 7 (2009)

Pages

765-768

Published online

2009-07-17

Bibliographic record

Kardiol Pol 2009;67(7):765-768.

Keywords

aortic stenosis
apico-aortic valved conduit

Authors

Tomasz Hirnle
Bożena Sobkowicz
Grzegorz Juszczyk
Wawrzyniec Janiszewski
Piotr Jakubów
Robert Trzciński
Grzegorz Hirnle
Iwona Dmitruk
Anna Lewczuk
Kinga Fiedorczuk

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