Open aortic root in a porcelain aorta when TAVR is not feasible
Porcelain aorta, though rare, is often considered a contraindication for open surgery due to the risk of associated neurological complications due to calcium embolization. We present the case of a 70-year-old female with a prior 19mm bioprosthetic aortic valve replacement who, during routine follow-up, was found to have significant aortic valve stenosis, severely reduced leaflet mobility and a mean gradient of 40mmHg. Pre-operative computed tomography angiography revealed a calcified 'porcelain aorta'. Transcatheter aortic valve-in-valve replacement was not possible due to the small 19mm valve and small aortic sinuses, leading to referral for open aortic surgery.
Authors
- Yuriy Stukov (ORCID: https://orcid.org/0000-0002-5791-4554)
- Alex Adams (ORCID: https://orcid.org/0000-0001-9364-8540)
- Jeffrey Phillip Jacobs (ORCID: https://orcid.org/0000-0002-9916-929X)
- Alexandra Murillo Solera
- Ryan Azarrafiy (ORCID: https://orcid.org/0000-0002-0081-4608)
- V. Karanam
- Lindsey Brinkley (ORCID: https://orcid.org/0000-0002-0390-5310)
- Thomas M. Beaver (ORCID: https://orcid.org/0000-0003-1785-0119)
- Arjun Khanna (ORCID: https://orcid.org/0000-0001-5592-5498)
- G. De Leon
- Oscar Holmvard
Institutions
- University of Florida (US)
- University of Miami Hospital (US)
- Florida College (US)
Publication Details
- Journal
- Multimedia Manual of Cardio-Thoracic Surgery
- Published
- 2025-10-20
- DOI
- https://doi.org/10.1510/mmcts.2025.119
- Primary Topic
- Aortic Disease and Treatment Approaches
- Type
- article
- Field-Weighted Citation Impact
- 0.00