A Case of Reoperation for Mitral and Tricuspid Regurgitations with Severely Calcified Aorta by Hypothermic Ventricular Fibrillation

(Department of Cardiovascular Surgery, Machida Civil Hospital, Machida, Japan and Department of Cardiovascular Surgery, Saitama Prefectural Circulatory and Respiratory Center*, Saitama, Japan)

Shingo Taguchi Yoshimasa Sakamoto Hiromitsu Takakura*
A 71-year-old man who had mitral and tricuspid regurgitations with severely calcified aorta had been called off an elective operation 4 years ago, because cardiopulmonary bypass (CPB) could not be established intraoperatively operation. This time, mitral valve replacement and tricuspid annuloplasty was performed by left axillary arterial cannulation and moderate hypothermic ventricular fibrillation after resternotomy. Calcification of the aorta is sometimes more severe than detected by preoperative CT scan, as in the present case. Therefore, it is necessary and recommended for cases of calcified ascending aorta to be fully examined and, based on the results decided alternative modalities.
@Jpn. J. Cardiovasc. Surg. 34: 212-215 (2005)