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      Endovascular clamping of porcelain aorta in aortic valve surgery using Foley Catheter.

      Heart, lung & circulation
      Aorta, Thoracic, pathology, surgery, Aortic Valve, Calcinosis, Catheterization, methods, Heart Valve Diseases, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation, Humans

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          Abstract

          Unclampable calcified aorta is an uncommon condition that all cardiac surgeons may encounter and performing aortic valve surgery in this condition with a non cross-clamping technique of using Foley Catheter has rarely been reported. Aortic valve surgery invariably becomes a high-risk, challenging procedure to cardiac surgeon or even a contraindication to surgery when the ascending aorta cannot be clamped due to extensive calcification precluding safe dissection and clamping. We describe and recommend a non cross-clamping technique of using Foley Catheter and report it successful use in two patients who underwent aortic valve replacement with "porcelain" unclampable aorta.

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