Complete thromboendarterectomy of the calcified ascending aorta and aortic arch

Porcelain Aorta

“…Other options include femoral or axillary artery cannulation for cardiopulmonary bypass, 68,83 intraluminal balloon catheter as a substitute for external clamps, 84 avoidance of proximal graft anastomoses on the ascending aorta, 85 and CABG performed during deep hypothermic circulatory arrest. 86 Extended procedures such as ascending aorta endarterectomy, 87 patch aortoplasty, and graft replacement of the ascending aorta 88,89 have also been described.…”

Technical Modifications for Patients with Aortic Stenosis and Calcified Ascending Aorta During Aortic Valve Replacement

“…Although the no-touch technique to the calcified aorta effectively reduces the surgical risk of atheroembolic events, prolonged HCA time is a risk for stroke 19) . As a different strategy to facilitate AVR, endarterectomy during HCA has been reported to avoid embolic events 13,20) . No patients with postoperative stroke www.intechopen.com suggested a good early result, but there were no follow-up data relating to the long-term risks of aortic dissection or dilatation.…”

Diagnosis and management of severe atherosclerosis of the ascending aorta and aortic arch during cardiac surgery: focus on aortic replacement

“…The incidence of a significantly atherosclerotic aorta has been reported to vary widely from 1.2% to 28% of the cardiac surgical population [1,[6][7][8][9][10], depending on the definition of 'significant' pathology, on the sensitivity of the diagnostic methods, and, to a certain extent, on the subset of procedures considered. A higher prevalence of atheromas has generally been detected when epiaortic scanning was systematically used [6,7].…”