The Japanese Journal of Thoracic Surgery Volume 71, Issue 12 (November 2018)

Surgical Management of a Severely Calcified Ascending Aorta Using Intra-Aortic Balloon Occlusion Kazuhiko Higuchi 1 , Hirotoshi Suzuki 2 , Tsuyoshi Miyairi 2 1Department of Cardiovascular Surgery, Kashima Heart Clinic Keyword: balloon occlusion , calcified ascending aorta , cerebral embolism , aortic valve replacement(AVR) pp.1000-1003
Published Date 2018/11/1
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A severely calcified ascending aorta increases the risk of perioperative cerebral damage in cardiac surgery. Conventional aortic valve replacement using an external aortic cross clamp may be dangerous in patients with this morbidity. We used an intra-aortic balloon occlusion catheter(IABOC)to minimize risks of aortic valve replacement(AVR) in an 81-year-old man with severe aortic stenosis combined with a severely calcified aorta. IABOC was introduced to the ascending aorta via the right femoral artery by esophageal echocardiography. The precise site of the inflated balloon was confirmed by the pressure of the right radial artery and was secured by 2 tourniquets around the ascending aorta. The postoperative course was uneventful. Our technique can contribute to prevention of embolic complications in some patients with a severely calcified ascending aorta.

© Nankodo Co., Ltd., 2018


71巻12号 (2018年11月)
電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂