{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:33:33Z","timestamp":1793378013763,"version":"4.5.0"},"reference-count":0,"publisher":"Saudi Heart Association","issue":"1","license":[{"start":{"date-parts":[[2024,5,5]],"date-time":"2024-05-05T00:00:00Z","timestamp":1714867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the Saudi Heart Association"],"abstract":"<jats:p>Unexpected porcelain aorta is a real challenge to safely completing aortic valve replacement combined with coronary artery surgery. This condition often leads to an aborted sternotomy in the hope of performing transcatheter procedures, the feasibility of which may be hampered by anatomical considerations. We report the case of a 71- year old man with history of hypertension, type 2 diabetes mellitus and chronic kidney disease, which was referred for severe aortic valve stenosis and severe coronary artery disease. He benefited from an anaortic off-pump coronary surgery and clampless aortic valve replacement under hypothermic circulatory arrest to overcome an unexpected porcelain aorta.<\/jats:p>","DOI":"10.37616\/2212-5043.1367","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T04:11:16Z","timestamp":1714968676000},"source":"Crossref","is-referenced-by-count":0,"title":["Off-pump coronary surgery combined with aortic valve replacement under hypothermic circulatory arrest within an unexpected porcelain aorta"],"prefix":"10.37616","volume":"36","author":[{"given":"Abdelkader","family":"Boukhmis","sequence":"first","affiliation":[{"name":"Department of cardiac surgery at Mohamed ABDERRAHMANI specialised hospital, Bir Mourad Rais, Algiers, 16013, Algeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Khacha","sequence":"additional","affiliation":[{"name":"Department of cardiac surgery, MUSTAPHA BACHA University Hospital Center, Algiers, ALGERIA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Djouaher","family":"Yacine","sequence":"additional","affiliation":[{"name":"Department of anesthesia and critical care, MUSTAPHA BACHA University Hospital Center, Algiers, ALGERIA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"24531","published-online":{"date-parts":[[2024,5,5]]},"container-title":["Journal of the Saudi Heart Association"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T15:38:21Z","timestamp":1793374701000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.j-saudi-heart.com\/jsha\/vol36\/iss1\/4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,5]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,5,5]]}},"URL":"https:\/\/doi.org\/10.37616\/2212-5043.1367","relation":{},"ISSN":["2212-5043"],"issn-type":[{"value":"2212-5043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,5]]}}}