A Case of Ischemic Cardiomyopathy Complicated by Porcelain Aorta Treated with Dor Operation and CABG Using an Occlusion Balloon.
10.4326/jjcvs.30.40
- VernacularTitle:Ｐｏｒｃｅｌａｉｎ ａｏｒｔａ合併症例に対しｏｃｃｌｕｓｉｏｎ ｂａｌｌｏｏｎ使用下にＤｏｒ手術および冠動脈バイパス術を施行した１症例
- Author:
Yoshihiro Ko
;
Shigeki Horikoshi
;
Asatoshi Mizuno
;
Isao Aoki
;
Shingo Taguchi
- Publication Type:Journal Article
- Keywords:
porcelain aorta;
occlusion balloon;
ischemic cardiomyopathy;
endoaortic occlusion
- From:Japanese Journal of Cardiovascular Surgery
2001;30(1):40-43
- CountryJapan
- Language:Japanese
-
Abstract:
In patients with so-called porcelain aorta characterized by calcification of the total aorta, manipulation of the ascending aorta can cause cerebral infarction and other conditions due to aortic dissection or rupture and calcified debris. In the present case with ischemic cardiomyopathy and porcelain aorta, an occlusion balloon catheter was inserted into the ascending aorta to avoid its clamping, followed by Dor operation and CABG under cardiac arrest with normothermic extracorporeal circulation. Techniques such as deep hypothermic circulatory arrest and surgery while the heart is beating are often currently used as auxiliary methods to avoid aortic clamp. However, the present case with insufficient left ventricular function required a left ventriculotomy, and thus the technique presented here is useful for shortening the surgical time and ensuring a reliable outcome of the operation.
