{Reference Type}: Case Reports
{Title}: TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports.
{Author}: Gennari M;Giambuzzi I;Polvani G;Agrifoglio M;
{Journal}: J Cardiothorac Surg
{Volume}: 14
{Issue}: 1
{Year}: Nov 2019 27
{Factor}: 1.522
{DOI}: 10.1186/s13019-019-1036-2
{Abstract}: <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>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.