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

• 影响指数: 1.522
• 发表时间: Nov 2019 27
• 来源期刊: J Cardiothorac Surg
• DOI: 10.1186/s13019-019-1036-2
• PMID: 31775822
• 文章类型: Case Reports
• 中科院分区: Q4
• 方向: 医学
• 作者列表: Gennari M,Giambuzzi I,Polvani G,Agrifoglio M

关键词: Homograft; Redo surgery; Transcatheter aortic valve replacement

Mesh: Aged; Aortic Valve Insufficiency / complications surgery; Aortic Valve Stenosis / complications surgery; Bioprosthesis; Cardiopulmonary Bypass; Heart Valve Prosthesis; Humans; Male; Transcatheter Aortic Valve Replacement / methods; Transplantation, Homologous

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.
METHODS: 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.