Transcatheter aortic valve implantation after branched thoracic endovascular aortic repair in zone 0

Autor: Minako, Hayakawa, Satoru, Domoto, Takashi, Azuma, Akiko, Yamagata, Shogo, Isomura, Hisao, Otsuki, Nobuhisa, Hagiwara, Hiroshi, Niinami
Rok vydání: 2020
Předmět:
Zdroj: General thoracic and cardiovascular surgery. 69(5)
ISSN: 1863-6713
Popis: An 83-year-old woman who underwent emergent hemi-arch replacement for acute aortic dissection (Stanford Type A) and staged branched thoracic endovascular aortic repair in zone 0 was admitted for severe aortic stenosis. We performed transfemoral transcatheter aortic-valve implantation with an SAPIEN 3 valve. The interference between the stent frames of the valve and the stent grafts in the aortic arch was concerning. However, using the SAPIEN 3 valve's flex system, the valve was successfully delivered through the complex structure in the aortic arch without any aggravation. The patient's postoperative course was uneventful.
Databáze: OpenAIRE