Replacement of the heavily calcified ascending aorta in aortic valve replacement

Abstract

A totally calcified ascending aorta prevents aortic crossclamping and aortotomy during aortic valve replacement, and replacement of the ascending aorta is a valid option in these cases. We describe a simple technique for calcified ascending aorta replacement using the Cavitron Ultrasonic Surgical Aspirator. This can be used in aortic endarterectomy for removal of the calcified plaque in the anastomotic part.

Keywords: Aortic diseases; aortic valve stenosis; arteriosclerosis; calcinosis; heart valve prosthesis implantation.