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Eur J Cardiothorac Surg 2000;18:249-250
© 2000 Elsevier Science NL

Case report

Aortic valve replacement for the calcified ascending aorta in homozygous familial hypercholesterolemia

Tamotsu Yasuda, Michio Kawasuji, Naoki Sakakibara, Yoh Watanabe

Department of Surgery (I), Kanazawa University School of Medicine, Takaramachi 13-1, Kanazawa 920-8641, Japan

Received 31 January 2000; received in revised form 7 April 2000; accepted 12 April 2000.

Corresponding author. Tel.: +81-76-265-2356; fax: +81-76-222-6833
e-mail: yasuda{at}sf.m.kanazawa-u.ac.jp

A 72-year-old woman who had been diagnosed as homozygous familial hypercholesterolemia was admitted for chest discomfort. Computed tomography and cardiac catheterization revealed severe calcification of the aortic root and a high grade stenosis of the proximal right coronary artery. Aortic valve replacement concomitant with coronary artery bypass was done using temporary hypothermic circulatory arrest. This is preferred method when dealing the calcified aorta.

Key Words: Calcified aorta • Aortic valve replacement • Coronary artery bypass grafting • Familial hypercholesterolemia




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