Transapical aortic valve replacement through a chronic apical aneurysm.

Détails

ID Serval
serval:BIB_41C8958D84C5
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
Titre
Transapical aortic valve replacement through a chronic apical aneurysm.
Périodique
Interactive Cardiovascular and Thoracic Surgery
Auteur(s)
Ferrari E., Gronchi F., Qanadli S.D., von Segesser L.K.
ISSN
1569-9285 (Electronic)
ISSN-L
1569-9285
Statut éditorial
Publié
Date de publication
2012
Volume
14
Numéro
3
Pages
367-369
Langue
anglais
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Résumé
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.
Mots-clé
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
Pubmed
Web of science
Open Access
Oui
Création de la notice
06/12/2012 19:56
Dernière modification de la notice
08/05/2019 17:41
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