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Journal of Cardiothoracic Surgery

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Open Access 01-12-2019 | Aortic Valve Replacement | Case report

TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports

Authors: Marco Gennari, Ilaria Giambuzzi, Gianluca Polvani, Marco Agrifoglio

Published in: Journal of Cardiothoracic Surgery | Issue 1/2019

Abstract

Background

Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit.

Case presentation

We present a case of a patient who underwent open surgery on cardiopulmonary bypass assistance to implant a standard transcatheter aortic bioprosthesis through aortotomy in an off-label procedure and we discuss its safety and feasibility.

Conclusions

The combination of open cardiac surgery and open trans-aortic implant of a transcatheter prosthesis may reduce the surgical risk shrinking the technical difficulties that the implantation of a standard surgical prosthesis would have given.

Maselli D, Pizio R, Bruno LP, Di Bella I, De Gasperis C. Left ventricular mass reduction after aortic valve replacement: homografts, stentless and stented valves. Ann Thorac Surg. 1999;67(4):966–71.CrossRef

Amabile N, Bical OM, Azmoun A, Ramadan R. Nottin R, et al long-term results of freestyle stentless bioprosthesis in the aortic position: a single-center prospective cohort of 500 patients. J Thorac Cardiovasc Surg. 2014;148(5):1903–11.CrossRef

Sadowski J, Kapelak B, Bartus K, Podolec P, Rudzinski P, et al. Reoperation after fresh homograft replacement: 23 years’ experience with 655 patients. Eur J Cardiothorac Surg. 2003;23(6):996–1000.CrossRef

Joudinaud TM, Baron F, Raffoul R, Pagis B, Vergnat M, et al. Redo aortic root surgery for failure of an aortic homograft is a major technical challenge. Eur J Cardiothorac Surg. 2008;33:989–94.CrossRef

Gennari M, Polvani G, Pepi M, Arlati F, Annoni A, et al. Late thrombosis of a Transcatheter aortic valve: the border between a proactive and reactive management. J Cardiothorac Surg. 2018;13(1):126.CrossRef

Bapat V, Khawaja MZ, Attia R, et al. Transaortic transcatheter aortic valve implantation using Edwards SAPIEN valve: a novel approach. Catheter Cardiovasc Interv. 2012;79:733–40. https://doi.org/10.1002/ccd.23276.CrossRefPubMed

Dunne B, Tan D, Chu D, et al. Transapical versus transaortic transcatheter aortic valve implantation: a systematic review. Ann Thorac Surg. 2015;100:354–61. https://doi.org/10.1016/j.athoracsur.2015.03.039.CrossRefPubMed

Biasco L, Ferrari E, Pedrazzini G, et al. Access Sites for TAVI: Patient Selection Criteria, Technical Aspects, and Outcomes. Front. Cardiovasc. Med. 5:88. https://doi.org/10.3389/fcvm.2018.00088.

Leveille L, Jaussaud N, Theron A, et al. Open-heart transcatheter aortic valve replacement in complex aortic valve reoperation: about a case series. Eur Heart J Case Rep. 2018;2(2):yty064.PubMedPubMedCentral

10.

Choi CH, Cheng V, Malaver D, et al. A comparison of valve-in-valve transcatheter aortic valve replacement in failed stentless versus stented surgical bioprosthetic aortic valves. Catheter Cardiovasc Interv. 2019;93(6):1106–15.CrossRef

11.

Barbanti M, Yang J, Rodès C, et al. Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement. Circulation. 2013;128(3):244-53.CrossRef

12.

Hayashida K, Bouvier E, Lefèvre T, et al. Potential mechanism of annulus rupture during transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2013;82(5):E742-6.CrossRef

Title: TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports
Authors: Marco Gennari
Ilaria Giambuzzi
Gianluca Polvani
Marco Agrifoglio
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Aortic Valve Replacement
Transcatheter Aortic Valve Implantation
Aortic Valve Replacement
Aortic Valve Replacement
Published in: Journal of Cardiothoracic Surgery / Issue 1/2019
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-019-1036-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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