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Aortic Valve Replacement in a Patient with Takayasu’s Disease without Cross-clamping The Calcified Ascending Aorta

Department of Cardiothoracic Surgery St Mary’s Hospital London, UK

For reprint information contact: Thanos Athanasiou, PhD Tel: 44 207 886 6147 Fax: 44 207 886 6777 Email: tathan5253{at}aol.com Department of Cardiothoracic Surgery, St Mary’s Hospital, 70 St. Olaf’s Road, London SW6 7DN, UK.

The case of a 42-year-old female requiring surgical management of aortic regurgitation, secondary to Takayasu’s disease, with a co-existing heavily calcified ascending aorta is described. In order to address aortic valve surgery with such calcific disease affecting the ascending aorta and peripheral vessels, we present a simple and safe technique that allows aortic valve replacement using a vascular intra-aortic occlusion catheter.