Minimally Invasive Mitral Valve Repair in a Patient With Porcelain Aorta

A woman aged 79 years with a history of stroke was admitted to undergo surgical treatment of a severe mitral regurgitation caused by active endocarditis. A preoperative computed tomography scan showed the presence of a porcelain aorta. The mitral valve was successfully repaired with an endovascular cardiopulmonary bypass system. The patient was discharged on postoperative day 10 with no complication. Endoaortic clamping is thought to be a useful technique in patients with a severely calcified aorta.