Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Transapical aortic valve replacement through a chronic apical aneurysm.
Interactive Cardiovascular and Thoracic Surgery
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Transapical aortic valve replacement through an apical aneurysm is traditionally contraindicated because of the risk of severe systemic embolization when thrombi are present. However, a chronic fibrotic aneurysm without apical thrombi carries a low risk of distal embolization and can be safely employed for a transapical transcatheter aortic valve replacement in case of absence of an alternative access site (severe vascular disease, small vascular sizes and diseased calcified aorta). We illustrate our experience with a 73-year-old patient suffering from symptomatic aortic valve stenosis, coronary artery disease with occluded left anterior descending artery, left ventricular apical aneurysm and severe peripheral vascular disease, who successfully underwent a transapical 26 mm Sapien? XT stent-valve implantation through the fibrotic thin akinetic apical wall.
Aged, Aortic Valve/surgery, Aortic Valve Stenosis/complications, Aortic Valve Stenosis/diagnosis, Chronic Disease, Coronary Aneurysm/complications, Coronary Aneurysm/diagnosis, Coronary Angiography, Coronary Vessels, Diagnosis, Differential, Echocardiography, Transesophageal, Female, Follow-Up Studies, Heart Catheterization/methods, Heart Valve Prosthesis Implantation/methods, Humans, Tomography, X-Ray Computed
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