JACC: Case Reports (Jan 2024)
Transaortic TAVR and Mitral Repair Under Deep Hypothermic Circulatory Arrest in a Porcelain Aorta Patient
- Fotios Pitoulis, MD, PhD,
- Blanca Pamias-Lopez, MD,
- Charlie Fraser, MD,
- Akhil Rao, BSc,
- Lisa Mangino-Blanchard, NP,
- William Vernick, MD,
- Ronak Shah, MD,
- Jeremy Kukafka, MD,
- Audrey Spelde, MD,
- Michael Acker, MD,
- Wilson Szeto, MD,
- Michael Ibrahim, MD, PhD
Affiliations
- Fotios Pitoulis, MD, PhD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA; Imperial College London, National Heart and Lung Institute, London, United Kingdom
- Blanca Pamias-Lopez, MD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA; Imperial College London, National Heart and Lung Institute, London, United Kingdom
- Charlie Fraser, MD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- Akhil Rao, BSc
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- Lisa Mangino-Blanchard, NP
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- William Vernick, MD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- Ronak Shah, MD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- Jeremy Kukafka, MD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- Audrey Spelde, MD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- Michael Acker, MD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- Wilson Szeto, MD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA
- Michael Ibrahim, MD, PhD
- University of Pennsylvania Cardiovascular Surgery, Penn Presbyterian Hospital, Philadelphia, Pennsylvania, USA; Address for correspondence: Dr Michael Ibrahim, Penn Presbyterian Medical Center, Heart and Vascular Pavilion, 2nd Floor, 51 N. 39th Street, Philadelphia, Pennsylvania 19104, USA; or Smilow Centre for Translational Research, 3400 Civic Center Boulevard, Philadelphia, Pennsylvania 19104, USA.
- Journal volume & issue
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Vol. 29,
no. 1
p. 102144
Abstract
Vascular and valvular calcifications, commonly seen in renal patients, increase operative mortality and can preclude conventional valvular management. We show a novel approach to treat aortic stenosis and degenerative mitral regurgitation under hypothermic circulatory arrest in a hemodialysis patient with aortic, mitral disease and porcelain aorta with surgical and transcatheter contraindications.
