Alternative method of cannulation for aortic valve replacement in patient with porcelain aorta. Clinical case

Atherosclerotic damage of the aortic root and ascending aorta, especially in case of such extreme manifestation as porcelain aorta, is a major problem in cardiac surgery. This pathology is associated with potential thromboembolic complications and aortic dissection during intraoperative manipulation of the aorta, in particular, in case of standard cannulation technique. This situation requires surgeon to use nonstandard approaches to tactics of surgical intervention and cardiopulmonary bypass. This article presents a clinical case of intraoperatively detected porcelain aorta and describes an alternative technique for cardiopulmonary bypass connections to minimize complications.