The Journal of Thoracic and Cardiovascular Surgery, Vol 94, 635-636, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Aortic valve replacement in the presence of sternal metastases from prostatic carcinoma: a case report
FW Grannis Jr, J Caffaratti and H Dikranian
Department of Thoracic Surgery, County Hospital, University of Southern California, Pasadena.
A 65-year-old man was admitted with New York Heart Association Class IV
heart failure, refractory to maximal medical therapy. High-grade aortic
insufficiency and severe left ventricular dysfunction were demonstrated by
cardiac catheterization. The patient had known prostatic carcinoma with
extensive metastatic involvement of the sternum. Aortic valve replacement
was performed successfully through a median sternotomy incision and the
patient returned to full activities.