Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report

Autor:	Andres Beiras-Fernandez, Angela Kornberger, Martin Geyer, Alexander Tamm, Ralph Stephan von Bardeleben
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Transcatheter aortic valve replacement Modified transapical access Subxiphoidal approach Case report Surgery RD1-811 Anesthesiology RD78.3-87.3
Zdroj:	Journal of Cardiothoracic Surgery, Vol 15, Iss 1, Pp 1-3 (2020)
Druh dokumentu:	article
ISSN:	1749-8090
DOI:	10.1186/s13019-020-01181-4
Popis:	Abstract Background Transcatheter aortic valve replacement (TAVR) via an antegrade transapical access (TA-TAVR) is largely reserved to cases not amenable to transfemoral TAVR. Challenges resulting from unusual thoracic anatomies may require special considerations in terms of the surgical access. Case presentation We present a case of TA-TAVR through a subxiphoidal approach in a patient who had undergone extensive thoracic surgery 8 years previously. Conclusion Our case demonstrates that unusual anatomic features should not discourage from TA-TAVR but may require unusual approaches designed on a case-to-case basis following careful interdisciplinary preparation and planning including adequate pre-operative diagnostics and imaging.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/6324b3b395c24e6d8a642411a8d2e29f Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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