[Case Report] 75 yo with a porcelain aorta

[Case Report] 75 yo with a porcelain aorta

From Pomegranate Health by the Royal Australasian College of Physicians

February 16, 2026 · 31 min · Episode 142

About this episode

The episode discusses a 75-year-old man with severe aortic stenosis and a porcelain aorta, exploring his medical history and treatment options.

A 75 year-old man with severe aortic stenosis is deemed unsuitable for surgery on the basis of a porcelain aorta detected with cross-sectional imaging. The patient had, a decade earlier, been diagnosed with hypertrophic cardiomyopathy after presenting with cardiac arrhythmia. A dual chamber ICD was implanted at the time for secondary prevention and other comorbidities were managed. The patient is now being considered for staged alcohol septal ablation (for the HCM) and transcatheter aor...

Topics covered

  • cardiology
  • aortic stenosis
  • hypertrophic cardiomyopathy
  • medical imaging
  • interventional procedures

Keywords

  • porcelain aorta
  • aortic stenosis
  • hypertrophic cardiomyopathy
  • cardiac arrhythmia
  • dual chamber ICD
  • alcohol septal ablation
  • transcatheter aortic valve replacement

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