Top

Journal of Cardiothoracic Surgery

Published in:

Open Access 01-12-2021 | Transesophageal Echocardiography | Case report

Trans-apical aortic valve implantation for quadricuspid aortic valve with aortic regurgitation using J-valve system: a case reports

Authors: Chaodi Luo, Yi Jiang, Qiang Chen, Yang Yan, Dan Han

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

Quadricuspid aortic valve (QAV) is a rare congenital heart defect usually accompanied with different hemodynamic abnormalities. Due to the rarity of QAV, treatment and prognosis of QAV patients with aortic regurgitation still remain challenging. We here present the first case of a patient with severe QAV regurgitation who underwent successful treatment and performed favorable prognosis with transapical aortic valve implantation (TAVI) using J-Valve system.

Case presentation

A 62-year-old man experienced intermittent palpitation, shortness of breath and chest pain. Echocardiography revealed congenital QAV with massive aortic regurgitation and mild aortic stenosis, left ventricular enlargement. Aortic valve replacement was successfully performed with TAVI using J-Valve system. The postoperation and follow-up was uneventful.

Conclusion

TAVI using J-Valve system has emerged as a new high success rate method for treatment of patients with simple non-calcified aortic valve insufficiency.

Available only for authorised users

Yuan SM. Quadricuspid aortic valve: a comprehensive review. Braz J Cardiovasc Surg. 2016;31(6):454–60. https://doi.org/10.5935/1678-9741.20160090.CrossRefPubMedPubMedCentral

Mastrobuoni S, Aphram G, Tamer S, Navarra E, de Kerchove L, el Khoury G. Quadricuspid aortic valve repair. Ann Cardiothoracic Surg. 2019;8(3):433–5. https://doi.org/10.21037/acs.2019.05.05.CrossRef

Lorca R, Álvarez-Cabo R, Calvo J, de la Hera JM. Quadricuspid aortic valve surgical repair. J Thorac Cardiovasc Surg. 2018;155(3):940–1. https://doi.org/10.1016/j.jtcvs.2017.11.008.CrossRefPubMed

Howard C, Jullian L, Joshi M, et al. TAVI and the future of aortic valve replacement. J Card Surg. 2019;34(12):1577–90.CrossRef

Ye J, Lee AJ, Blanke P, Webb J. The first transapical transcatheter aortic valve-in-valve implantation using the J-valve system into a failed biophysio aortic prosthesis in a patient with high risk of coronary obstruction. Catheterization Cardiovasc Interventions. 2018;92(6):1209–14. https://doi.org/10.1002/ccd.27604.CrossRef

Benkemoun H, Bramlage P. A four-leaf clover: A case report of quadricuspid aortic valve stenosis. Card Surg. 2020;35(5):1125–8.CrossRef

Ibrahim M, Wattanakit K, Barzallo M, Mungee S. Quadricuspid aortic valve stenosis: expanding our experience in Transcatheter aortic valve implantation. J Invasive Cardiology. 2018;30(3):E27.

Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP 3rd, Gentile F, et al. 2020 ACC/AHA guideline for the Management of Patients with Valvular Heart Disease: a report of the American College of Cardiology/American Heart Association joint committee on clinical practice guidelines. Circulation. 2021 Feb 2;143(5):e72–e227. https://doi.org/10.1161/CIR.0000000000000923.CrossRefPubMed

Puri R, Iung B, Cohen DJ, Rodés-Cabau J. TAVI or no TAVI: identifying patients unlikely to benefit from transcatheter aortic valve implantation. Eur Heart J. 2016;37(28):2217–25. https://doi.org/10.1093/eurheartj/ehv756.CrossRefPubMed

10.

Franzone A, Piccolo R, Siontis GC, et al. Transcatheter aortic valve replacement for the treatment of pure native aortic valve regurgitation: a systematic review. JACC Cardiovasc Interventions. 2016;9(22):2308–17. https://doi.org/10.1016/j.jcin.2016.08.049.CrossRef

11.

Yoon SH, Schmidt T, Bleiziffer S, Schofer N, Fiorina C, Munoz-Garcia AJ, et al. Transcatheter aortic valve replacement in pure native aortic valve regurgitation. J Am Coll Cardiol. 2017;70(22):2752–63. https://doi.org/10.1016/j.jacc.2017.10.006.CrossRefPubMed

12.

Xue Y, Zhou Q, Li S, Li J, Mu D, Luo X, et al. Trans-apical transcatheter valve replacement using J-valve for aortic valve diseases. Ann Thorac Surg. 2020. https://doi.org/10.1016/j.athoracsur.2020.10.030.

13.

Liu H, Yang Y, Wang W, Zhu D, Wei L, Guo K, et al. Transapical transcatheter aortic valve replacement for aortic regurgitation with a second-generation heart valve. J Thorac Cardiovasc Surg. 2018;156(1):106–16. https://doi.org/10.1016/j.jtcvs.2017.12.150.CrossRefPubMed

Title: Trans-apical aortic valve implantation for quadricuspid aortic valve with aortic regurgitation using J-valve system: a case reports
Authors: Chaodi Luo
Yi Jiang
Qiang Chen
Yang Yan
Dan Han
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Transesophageal Echocardiography
Echocardiography
Transcatheter Aortic Valve Implantation
Aortic Valve Insufficiency
Echocardiography
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01586-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Trans-apical aortic valve implantation for quadricuspid aortic valve with aortic regurgitation using J-valve system: a case reports

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2021

Aortic valve replacement in pediatric patients: 30 years single center experience

Clinical effect of dexmedetomidine combined with sufentanil on postoperative analgesia for transthoracic device closure of ventricular septal defects in children with ultrafast track anesthesia

Uniportal VATS pleural biopsy in the diagnosis of exudative pleural effusion: awake or intubated?

Left atrial geometry in an ovine ischemic mitral regurgitation model: implications for transcatheter mitral valve replacement devices with a left atrial anchoring mechanism

The use of fibrinolytic therapy for parapneumonic effusion in pregnancy: a case report and a review

Pulmonary nodular lymphoid hyperplasia in a 53-year-old man with malignant sign: a case report