Direct transaortic transcather valve-in-valve implantation into a mechanical aortic valve prosthesis during left ventricular assist device implantation: description of a surgical technique
| Autor: | Philipp Kiefer, Alexandro Hoyer, Jens Garbade, Michael A. Borger |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Eacts/122 medicine.medical_treatment Bentall procedure Mechanical Aortic Valve Case Reports Status post Prosthesis Transcatheter Aortic Valve Replacement Valve-in-Valve concept medicine Humans Eacts/116 Contraindication Heart Valve Prosthesis Implantation Adult Cardiac AcademicSubjects/MED00920 business.industry equipment and supplies Left Ventricular Assist Device Valve in valve Surgery Treatment Outcome Aortic Valve Heart Valve Prosthesis Ventricular assist device cardiovascular system Heart-Assist Devices Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interactive Cardiovascular and Thoracic Surgery |
| ISSN: | 1569-9285 |
| DOI: | 10.1093/icvts/ivab253 |
| Popis: | The presence of a mechanical aortic valve prosthesis is considered a relative contraindication for left ventricular assist device implantation (LVAD) due to the occurrence of thromboembolic events. Five patients were operated on for LVAD implantation with status post mechanical aortic valve implantation (n = 3 with status post Bentall procedure). After removal of the leaflets, a transcatheter balloon-expandable valve was placed within the mechanical ring in all patients. Three patients were discharged from hospital with a maximum follow-up of 3.3 years. Transaortic transcatheter valve implantation into a mechanical aortic valve during LVAD implantation is a feasible option. It reduces operative times and might also prevent thromboembolic events. Rarely patients selected for left ventricular assist device (LVAD) implantation have had prior mechanical aortic valve implantation. |
| Databáze: | OpenAIRE |
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