Apico-Brachiocephalic Artery Bypass for Aortic Stenosis With Porcelain Aorta

Shuji Shimizu, Mikizo Nakai, Atsushi Itoh, Ko Yoshizumi, Yoshiki Ochi, Masahiro Okada, Shunji Sano

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)621-623
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number2
Publication statusPublished - Feb 2010

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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