'Fast-implantable' aortic valve implantation and concomitant mitral procedures.

Détails

ID Serval
serval:BIB_53678A9883B6
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
'Fast-implantable' aortic valve implantation and concomitant mitral procedures.
Périodique
Interactive Cardiovascular and Thoracic Surgery
Auteur⸱e⸱s
Ferrari E., Siniscalchi G., Marinakis S., Berdajs D., von Segesser L.
ISSN
1569-9285 (Electronic)
ISSN-L
1569-9285
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
19
Numéro
4
Pages
682-684
Langue
anglais
Résumé
Concomitant aortic and mitral valve replacement or concomitant aortic valve replacement and mitral repair can be a challenge for the cardiac surgeon: in particular, because of their structure and design, two bioprosthetic heart valves or an aortic valve prosthesis and a rigid mitral ring can interfere at the level of the mitroaortic junction. Therefore, when a mitral bioprosthesis or a rigid mitral ring is already in place and a surgical aortic valve replacement becomes necessary, or when older high-risk patients require concomitant mitral and aortic procedures, the new 'fast-implantable' aortic valve system (Intuity valve, Edwards Lifesciences, Irvine, CA, USA) can represent a smart alternative to standard aortic bioprosthesis. Unfortunately, this is still controversial (risk of interference). However, transcatheter aortic valve replacements have been performed in patients with previously implanted mitral valves or mitral rings. Interestingly, we learned that there is no interference (or not significant interference) among the standard valve and the stent valve. Consequently, we can assume that a fast-implantable valve can also be safely placed next to a biological mitral valve or next to a rigid mitral ring without risks of distortion, malpositioning, high gradient or paravalvular leak. This paper describes two cases: a concomitant Intuity aortic valve and bioprosthetic mitral valve implantation and a concomitant Intuity aortic valve and mitral ring implantation.
Pubmed
Web of science
Open Access
Oui
Création de la notice
26/05/2015 11:48
Dernière modification de la notice
20/08/2019 15:08
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