Apico-aortic conduit for aortic stenosis with a porcelain aorta; technical modification for apical outflow

Department of Thoracic and Cardiovascular Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ward, Tokyo, 142-8666, Japan *Corresponding author. Tel.: +81-3-3784-8588; fax: +81-3-3784-8307. E-mail address : mhirota{at}khc.biglobe.ne.jp (M. Hirota). A successful apico-aortic bypass for a patient with a porcelain aorta suffering from aortic stenosis is reported. A sewing cuff with an outflow graft to the apex and a hand-made composite graft were used instead of a rigid apical connector. Key Words: Apico-aortic bypass; Porcelain aorta; Aortic stenosis