IntroductionPorcelain aorta refers to the extensive circumferential or near-circumferential calcification of the ascending aorta, which reflects an underlying atherosclerotic process 1. It is observed in 2.3% to 9.3% of patients prior to elective coronary bypass grafting (CABG) 2 and in 0.7% to 7.5% of patients requiring cardiac surgery 3-6, making the ascending aorta harder to manoeuvre.Because of this, it has been considered a challenge in cardiac surgery by difficulting the cannulation artery, clamping the aorta artery, and performing aortocoronary bridges 1. Furthermore, it has been associated with an increased rate of mortality and cardiovascular disease 1. Besides, it has also been associated with increased morbidity and mortality, especially because of the increased perioperative stroke risk 7,8.To deal with this problem and operate on these cases in patients with porcelain aorta and valve disease, several strategies depending on the type of valve surgery have been proposed, including replacement of the mitral or aortic valves without aortic clamping or “no-touch” strategies, deep hypothermia ventricular fibrillation with circulatory arrest and gradually clamping and unclamping of the aorta among others2. Even though these techniques have been described, they are not free of complications.