Urgent reoperative transapical valve-in-valve shortly after a transapical aortic valve implantation.

Détails

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Etat: Serval
Version: Final published version
ID Serval
serval:BIB_82425093AC97
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
Urgent reoperative transapical valve-in-valve shortly after a transapical aortic valve implantation.
Périodique
European Journal of Cardio-thoracic Surgery
Auteur(s)
Ferrari E., Locca D., Marcucci C., Jeanrenaud X.
ISSN
1873-734X (Electronic)
ISSN-L
1010-7940
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
46
Numéro
4
Pages
748-750
Langue
anglais
Notes
Publication types: Journal Article
Résumé
Urgent reoperative transapical aortic valve-in-valve has never been proposed as a treatment option in case of a failed transcatheter aortic valve implantation (TAVI) or in case of worsening of an existing paravalvular leak, if this complication occurs right after, or a few days after, the primary transapical aortic valve implantation. Experienced surgeons should argue that after a transapical TAVI, the apex is damaged and fragile, with a high risk of irreparable ventricular tears and life-threatening bleeding if a second transapical procedure is scheduled during the acute phase. Nevertheless, if the patient is inoperable and the vascular status, including the ascending aorta, limits alternative accesses, the urgent reoperative transapical valve-in-valve becomes an alternative. We illustrate, for the first time ever, our experience with an 81-year old female patient who underwent a transapical (TA) TAVI with a Sapien? XT 23 mm. The day after the procedure, the patient haemodynamically worsened in combination with a worsening of a known (grade 1-2) paravalvular leak. Thus, on postoperative day two, an urgent transapical valve-in-valve was performed, and a second Sapien? XT 23 mm was placed, with an excellent haemodynamic result and absence of leak. The redo apical access did not appear very complicated and the postoperative recovery was uneventful.
Pubmed
Web of science
Open Access
Oui
Création de la notice
02/09/2014 10:18
Dernière modification de la notice
08/05/2019 21:12
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