The use of balloon-expandable Sapien-3 valve in redo aortic valve replacement and the potential risk of left main stem occlusion
Additional information
Authors
Theologou T.,
Clivio S.,
Younes A.,
Demertzis S.,
Ferrari E.
Type
Journal Article
Year
2022
Language
English
Abstract
Redo aortic valve surgery for the failure of a previously implanted valve is always challenging. In case of small-sized implanted valves, the use of a balloon-expanding Sapien-3 valve can enhance the final effective orifice area, avoid annulus enlargement complex techniques, and can reduce operative time and morbidities. We describe a case where after explanting a failed 19 mm St. Jude mechanical aortic valve and further deployment of a 23 mm Sapien-3 valve, the left coronary ostia was obstructed by the skirt of the transcatheter prosthesis. After careful removal of a little part of the skirt, we were able to restore the coronary flow and the patient had a favorable outcome.
Keywords
Redo aortic valve surgery, Sapien‐3 valve, Transcatheter aortic valve
Journal
Journal of cardiac surgery
Volume
37
Number ( Month )
6
Pages (or article number)
1740-1742
Diffusion
License
CC BY
Visibility
Public
Status open access
Hybrid
