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Case Reports

Simultaneous Apicoaortic Conduit Placement and Mitral Valve Replacement in an Adolescent with Porcelain Aorta, Aortic Stenosis, and Mitral Stenosis

^a Section of Cardiothoracic Surgery, Indiana University School of Medicine, Indianapolis, Indiana
^b Section of Pediatric Cardiology, Indiana University School of Medicine, Indianapolis, Indiana

Accepted for publication January 13, 2009.

^_* Address correspondence to Dr Rodefeld, Section of Cardiothoracic Surgery, Indiana University School of Medicine, 545 Barnhill Dr, EH 215, Indianapolis, IN 46202-5123 (Email: rodefeld{at}iupui.edu).

We describe the treatment of a 16-year-old girl with calcific aortic stenosis, porcelain aorta, and calcific mitral stenosis with insufficiency using a valved apicoaortic conduit and mitral valve prosthesis. Both valve replacements were porcine bioprostheses, and the apicoaortic conduit was implanted without the use of cardiopulmonary bypass. In cases in which the degree of aortic calcification pre-empts manipulation of the coronary ostia, an apicoaortic conduit may offer a viable solution to improve left ventricular outflow obstruction.