[HSF] Calcified aortic stenosis

[prasannasimha]

"Diffuse circumferential plate like calcification" is a porcelain aorta. 
>From the surgical perspective an aorta is porcelain when this is 
involving the whole ascending aorta precluding cannulation or cross 
clamping of the ascending aorta. (It is like the surgical arch versus 
the anatomical arch).
Prasanna
Nasser F. Abou'Seada wrote:
> is there a definition for an entity called "porcelain aorta"? ..... or 
> else
> it is rather a spectrum of clinico-histo-pathological manifestations ? 
> and
> what are thee "definite" criteria ?
>
> NFA
>
>
> On 7/1/07, Hgrmd at aol.com <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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