Apicoaortic bypass using a vascular graft with a bioprosthetic valve

We report a case of 75-year-old man who underwent an apicoaortic bypass for severe aortic stenosis. The patient had a porcelain aorta accompanied by a severely calcified aortic annulus. We used a woven polyester vascular graft instead of a rigid apical connector because the latter material cannot be obtained in Japan. Postoperative examination showed no compression or stenosis in the apical outflow. A woven polyester vascular graft is therefore considered suitable for an apicoaortic bypass.