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Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2012

Open Access 01-12-2012 | Letters to the Editor

Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?

Authors: Olivier Jegaden, Joel Lapeze, Fadi Farhart, Guy de Gevigney

Published in: Journal of Cardiothoracic Surgery | Issue 1/2012

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Abstract

We report a prospective comparison between transcatheter valve implantation (TAVI, n = 13) and surgical aortic valve replacement (AVR, n = 10) in patients with severe aortic valve stenosis and previous coronary bypass surgery (CABG). All patients had at least bilateral patent internal thoracic arteries bypass without indication of repeat revascularization. After a similar post-procedure outcome, despite one early death in TAVI group, the 1-year survival was 100% in surgical group and in transfemoral TAVI group, and 73% in transapical TAVI group. When previous CABG is the lone surgical risk factor, indications for a TAVI procedure have to be cautious, specially if transfemoral approach is not possible.
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Yann TD, Cao C, Martens-Hielsen J, Padang R, Ng M, Vallely M, Bannon PG: Transcatheter aortic valve implantation for high-risk patients with severe aortic stenosis: A systematic review. J Thorac Cardiovasc Surg. 2010, 139: 1519-1528. 10.1016/j.jtcvs.2009.08.037.CrossRef
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Drews T, Pasic M, Buz S, Unbehaun A, Dreysse S, Kukucka M: Transapical aortic valve implantation after previous heart surgery. Eur J Cardiothorac Surg. 2011, 39: 625-630. 10.1016/j.ejcts.2010.06.023.CrossRefPubMed
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Ducrocq G, Al-Attar N, Himbert D, Messika-Zeitoun D, Lung B, Descoutures F: Early and mid-term outcomes in patients undergoing transcatheter aortic valve implantation after previous coronary artery bypass grafting. Eur J Cardiothorac Surg. 2012, 41: 499-504. 10.1093/ejcts/ezr041.CrossRefPubMed
Metadata
Title
Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?
Authors
Olivier Jegaden
Joel Lapeze
Fadi Farhart
Guy de Gevigney
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2012
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-7-47

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