Feasibility of transapical aortic valve replacement through a left ventricular apical diverticulum.

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State: Public
Version: author
Serval ID
serval:BIB_6D88BB3B16F7
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Feasibility of transapical aortic valve replacement through a left ventricular apical diverticulum.
Journal
Journal of Cardiothoracic Surgery
Author(s)
Ferrari E., Van Steenberghe M., Namasivayam J., Berdajs D., Niclauss L., von Segesser L.K.
ISSN
1749-8090 (Electronic)
ISSN-L
1749-8090
Publication state
Published
Issued date
2013
Volume
8
Number
3
Pages
1-3
Language
english
Notes
Publication types: Journal ArticlePublication Status: epublish. PDF type: Case report
Abstract
ABSTRACT: Transapical aortic valve replacement is an established technique performed in high-risk patients with symptomatic aortic valve stenosis and vascular disease contraindicating trans-vascular and trans-aortic procedures. The presence of a left ventricular apical diverticulum is a rare event and the treatment depends on dimensions and estimated risk of embolisation, rupture, or onset of ventricular arrhythmias. The diagnosis is based on standard cardiac imaging and symptoms are very rare. In this case report we illustrate our experience with a 81 years old female patient suffering from symptomatic aortic valve stenosis, respiratory disease, chronic renal failure and severe peripheral vascular disease (logistic euroscore: 42%), who successfully underwent a transapical 23 mm balloon-expandable stent-valve implantation through an apical diverticulum of the left ventricle. Intra-luminal thrombi were absent and during the same procedure were able to treat the valve disease and to successfully exclude the apical diverticulum without complications and through a mini thoracotomy. To the best of our knowledge, this is the first time that a transapical procedure is successfully performed through an apical diverticulum.
Pubmed
Web of science
Open Access
Yes
Create date
21/03/2013 16:47
Last modification date
20/08/2019 14:27
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