1. Aortic Root Replacement to Accommodate Future Valve-in-Valve Transcatheter Aortic Valve Replacement
- Author
-
Morgan Harloff, Sameer A. Hirji, Farhang Yazdchi, Andrew R. Papoy, Ayaz Aghayev, Tsuyoshi Kaneko, and Edward Percy
- Subjects
Pulmonary and Respiratory Medicine ,Adult ,medicine.medical_specialty ,Transcatheter aortic ,medicine.medical_treatment ,Aortic root ,Computed tomography ,030204 cardiovascular system & hematology ,Transcatheter Aortic Valve Replacement ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,Valve replacement ,Internal medicine ,medicine ,Humans ,Heart valve ,medicine.diagnostic_test ,business.industry ,Prophylactic Surgical Procedures ,Valve in valve ,medicine.anatomical_structure ,030228 respiratory system ,Coronary Occlusion ,Cardiology ,Surgery ,Female ,Cardiology and Cardiovascular Medicine ,business ,Complication - Abstract
Coronary obstruction is a feared complication associated with valve-in-valve transcatheter aortic valve replacement (TAVR) that may prevent patients with high anatomical risk from being considered. Aortic root replacement at the time of the index TAVR allows higher coronary implantation and augmentation of transcatheter heart valve to coronary ostial distance. This approach permits future valve-in-valve TAVR and may be an important strategy in lifetime valve selection management, particularly in young patients.
- Published
- 2020