Apicoaortic bypass for left ventricular outflow tract obstruction has been performed with acceptable mid-term mortality. However, sometimes it is difficult to anastomose the distal end of the conduit to the calcified descending aorta in patients with a porcelain aorta. We report an aortic non-touch modification of the apicoaortic bypass in an 80-year-old woman with valvular aortic stenosis and a porcelain aorta extending from the ascending to abdominal aorta. We performed apico-brachiocephalic artery bypass under circulatory arrest with deep hypothermia. This procedure may become a useful surgical option for patients with a severe porcelain aorta. © 2010 The Society of Thoracic Surgeons.
Shimizu, S., Nakai, M., Itoh, A., Yoshizumi, K., Ochi, Y., Okada, M., & Sano, S. (2010). Apico-Brachiocephalic Artery Bypass for Aortic Stenosis With Porcelain Aorta. Annals of Thoracic Surgery, 89(2), 621–623. https://doi.org/10.1016/j.athoracsur.2009.06.124