A modified Park's stitch to correct aortic insufficiency for bioprosthetic valve at time of left ventricular assist device implant: a case report.

Autor: Kazui T; Division of Cardiothoracic Surgery, The University of Arizona/ Banner University Medical Center Tucson, 1501 N Campbell Ave., Rm 4302A, P.O. Box 245071, Tucson, AZ, 85724-5071, USA., Sydow N; Division of Cardiothoracic Surgery, The University of Arizona/ Banner University Medical Center Tucson, 1501 N Campbell Ave., Rm 4302A, P.O. Box 245071, Tucson, AZ, 85724-5071, USA., Friedman M; Division of Cardiology, The University of Arizona/ Banner University Medical Center Tucson, Tucson, AZ, USA., Kim S; Division of Cardiothoracic Surgery, The University of Arizona/ Banner University Medical Center Tucson, 1501 N Campbell Ave., Rm 4302A, P.O. Box 245071, Tucson, AZ, 85724-5071, USA., Lick S; Division of Cardiothoracic Surgery, The University of Arizona/ Banner University Medical Center Tucson, 1501 N Campbell Ave., Rm 4302A, P.O. Box 245071, Tucson, AZ, 85724-5071, USA., Khalpey Z; Division of Cardiothoracic Surgery, The University of Arizona/ Banner University Medical Center Tucson, 1501 N Campbell Ave., Rm 4302A, P.O. Box 245071, Tucson, AZ, 85724-5071, USA. zkhalpey@surgery.arizona.edu.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2016 Nov 30; Vol. 11 (1), pp. 161. Date of Electronic Publication: 2016 Nov 30.
DOI: 10.1186/s13019-016-0555-3
Abstrakt: Background: Aortic valve insufficiency (AI) at the time of left ventricular assist device (LVAD) insertion needs to be corrected, however there is little known about how to manage bioprosthetic valvular AI.
Case Presentation: A 55-year-old female with dilated cardiomyopathy who previously had a bioprosthetic aortic valve replacement needed a LVAD as a bridge to transplant. Her left ventricular ejection fraction was 10% and had mild to moderate transvalvular AI. She underwent a HeartWare HVAD insertion along with aortic valvular coaptation stitch repair (Park's stitch) to the bioprosthetic valve.
Conclusion: Her AI improved to trivial with minimal ejection through the bioprosthetic valve. She was transplanted 6 months following the surgery. A Park's stitch to the bioprosthetic aortic valve with more than mild AI might be a good option for bridge to transplant patient.
Databáze: MEDLINE
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