[HSF] Calcified aortic stenosis

[prasannasimha]

Central to a "porcelain" aorta - unclampability. Cannulation may or may 
not be possible - say in the arch  may be possible at times
Prasanna

Hgrmd at aol.com wrote:
> Tomas,
>   Quite frankly, if you are able to cannulate centrally and  crossclamp, I'm 
> not sure that qualifies as a true "porcelain" aorta.   Difficult-yes, 
> porcelain-no.  An aorta with dense circumferential calcium  has to be handled with 
> peripheral cannulation and construction of the distal  anastamosis with an open 
> technique.  The other increasingly attractive  alternative is aortic valve 
> bypass.
>  
> Hal
>
>
>
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