Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Which available transapical transcatheter valve fits into degenerated aortic bioprostheses?
Interactive Cardiovascular and Thoracic Surgery
Publication types: Case Reports ; Journal Article ; Review
The transapical transcatheter aortic valve implantation (TA-TAVI) in degenerated aortic bioprosthesis is an emerging therapy for surgically non-amenable patients. However, the presence of different types of aortic bioprostheses (stented and stentless), available in different sizes (19-27 mm), can be at the origin of important mismatches between the malfunctioning, degenerated aortic valves and the inner stent-valves implanted through transapical accesses (23 and 26 mm Edwards Sapien transcatheter stent-valves). We report an emergency TA-TAVI treatment of a severely regurgitant degenerated 23 mm Mitroflow aortic bioprosthesis (Sorin Group, Milano, Italy) implanted seven years earlier in an 80-year-old lady, and we reviewed the current available literature about transapical 'valve-in-valve' procedures to analyze the hemodynamic results and the ideal 'prosthesis-to-prosthesis' match.
Aged, 80 and over, Aortic Valve/physiopathology, Aortic Valve/surgery, Aortic Valve Insufficiency/etiology, Aortic Valve Insufficiency/physiopathology, Bioprosthesis, Echocardiography, Transesophageal, Female, Heart Catheterization/instrumentation, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation/adverse effects, Heart Valve Prosthesis Implantation/instrumentation, Hemodynamics, Humans, Prosthesis Design, Prosthesis Failure
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