Muhammet Onur HANEDAN, Ufuk TÜTÜN, Garip ALTINTAŞ, Veysel BAŞAR, Kerem YAY, Ferit ÇİÇEKÇİOĞLU, Salih Fehmi KATIRCIOĞLU

Porcelain aorta: a new indication for on-pump beating heart mitral valve replacement

Geleneksel olarak mitral kapak replasmanı (MKR) kardiyoplejik arest altında yapılmaktadır. Altmış dokuz yaşında erkek hasta şiddetli dispne, ortopne ve çarpıntı yakınmaları ile kliniğimize başvurdu. Transtorasik ekokardiyografide fibrokalsifik mitral kapak stenozu tespit edildi. Aorta kross-klemp konmadan kardiyopulmoner baypas (CPB) altında atan kalpte MKR uygulandı. Çıkan aort diseke edilmediği için yaralanma ve embolik komplikasyon riski minimize olur. Mitral kapak hastalığı ile birlikte porselen aort; CPB altında atan kalpte MKR’nin yeni bir endikasyonudur.

Kardiyopulmoner baypas altında atan kalpte mitral kapak replasmanı için yeni bir endikasyon: porselen aort

Conventionally, mitral valve replacement (MVR) is performed under cardioplegic arrest. A 69-years-old male patient was admitted to our clinic with severe dyspnea, orthopnea and palpitation. Transthoracic echocardiography revealed fibro-calcified mitral valve stenosis. Without cross-clamping the aorta, beating heart MVR under cardiopulmonary bypass (CPB) was performed. Since no dissection of the ascending aorta is performed, the risks of injury and embolic complications are minimized. Porcelain aorta with the mitral valve disease is a new indication for beating heart MVR under CPB.

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