• Kyobu Geka · Jun 2012

    Case Reports

    [Aortic arch and valve replacement in a hemodialysis patient with a porcelain aorta;report of a case].

    • Tetsuaki Ban, Kei Aizawa, Shin-ichi Oki, and Yoshio Misawa.
    • Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke Japan.
    • Kyobu Geka. 2012 Jun 1; 65 (6): 503-6.

    AbstractWe report a case of thoracic aortic aneurysm and aortic valve stenosis with chronic renal failure requiring hemodialysis. A 75-year-old man complained of back pain and hoarseness. He had been on dialysis for 15 years. A computed tomography scan of the chest showed marked calcification in the thoracic aortic arch, which is known as a porcelain aorta, and a distal arch aneurysm. Echocardiographic examination showed moderate aortic valve stenosis with calcification. An operation was scheduled, and both the aortic valve and the aortic arch aneurysm were successfully replaced with a mechanical valve and a prosthetic graft. Cardiovascular surgery for patients complicated by a porcelain aorta requires extra cares for the establishment of cardiopulmonary bypass and anastomoses of the aorta.

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