The use of balloon-expandable Sapien-3 valve in redo aortic valve replacement and the potential risk of left main stem occlusion
Informazioni aggiuntive
Autori
Theologou T.,
Clivio S.,
Younes A.,
Demertzis S.,
Ferrari E.
Tipo
Articolo pubblicato in rivista scientifica
Anno
2022
Lingua
Inglese
Sommario
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.
Parole chiave
Redo aortic valve surgery, Sapien‐3 valve, Transcatheter aortic valve
Periodico
Journal of cardiac surgery
Volume
37
Numero ( Mese )
6
Pagine (o numero dell’articolo)
1740-1742
Diffusione
Licenza
CC BY
Visibilità
Pubblico
Status open access
Hybrid
