Apicoaortic Conduit for Aortic Valve Stenosis after Coronary Bypass Grafting

(Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, Japan and Department of Cardiovascular Surgery, Suwa Red Cross Hospital*, Suwa, Japan)

Motoshige Yamasaki Taira Yamamoto
Naohiko Sagawa Keita Kikuchi Keiichi Tambara
Atsushi Amano and Takahiro Takemura
The patient was a 74-year-old man with a history of previous aorto-coronary bypass grafting 14 years previously. Echocardiography showed severe aortic valve stenosis. Computed tomography showed severe circumferential aortic calcification of the whole aorta, including the aortic root. Coronary cineangiography showed patency of the endoric graft. Avoiding graft injury and aortic cross clamping, we performed apicoaortic conduit. His postoperative course was uneventful, he was discharged very much improved on the 11th postoperative day. This procedure is useful in high risk patients with aortic valve stenosis.
@Jpn. J. Cardiovasc. Surg. 37: 358-363 (2008)