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Transapical aortic valve replacement through a chronic apical aneurysm.
- Source :
-
Interactive cardiovascular and thoracic surgery [Interact Cardiovasc Thorac Surg] 2012 Mar; Vol. 14 (3), pp. 367-9. Date of Electronic Publication: 2011 Dec 07. - Publication Year :
- 2012
-
Abstract
- Transapical aortic valve replacement through an apical aneurysm is traditionally contraindicated because of the risk of severe systemic embolization when thrombi are present. However, a chronic fibrotic aneurysm without apical thrombi carries a low risk of distal embolization and can be safely employed for a transapical transcatheter aortic valve replacement in case of absence of an alternative access site (severe vascular disease, small vascular sizes and diseased calcified aorta). We illustrate our experience with a 73-year-old patient suffering from symptomatic aortic valve stenosis, coronary artery disease with occluded left anterior descending artery, left ventricular apical aneurysm and severe peripheral vascular disease, who successfully underwent a transapical 26 mm Sapien™ XT stent-valve implantation through the fibrotic thin akinetic apical wall.
- Subjects :
- Aged
Aortic Valve Stenosis complications
Aortic Valve Stenosis diagnosis
Chronic Disease
Coronary Aneurysm complications
Coronary Angiography
Coronary Vessels
Diagnosis, Differential
Echocardiography, Transesophageal
Female
Follow-Up Studies
Humans
Tomography, X-Ray Computed
Aortic Valve surgery
Aortic Valve Stenosis surgery
Cardiac Catheterization methods
Coronary Aneurysm diagnosis
Heart Valve Prosthesis Implantation methods
Subjects
Details
- Language :
- English
- ISSN :
- 1569-9285
- Volume :
- 14
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Interactive cardiovascular and thoracic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 22159241
- Full Text :
- https://doi.org/10.1093/icvts/ivr039