Document Detail


Transapical aortic valve replacement through a chronic apical aneurysm.
MedLine Citation:
PMID:  22159241     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Enrico Ferrari; Fabrizio Gronchi; Salah Dine Qanadli; Ludwig Karl von Segesser
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-12-07
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  14     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-22     Completed Date:  2012-07-16     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  367-9     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, CHUV, University Hospital of Lausanne, Lausanne, Switzerland. enricoferrari@bluewin.ch
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Valve / surgery*
Aortic Valve Stenosis / complications,  diagnosis,  surgery*
Cardiac Catheterization / methods*
Chronic Disease
Coronary Aneurysm / complications,  diagnosis*
Coronary Angiography
Coronary Vessels
Diagnosis, Differential
Echocardiography, Transesophageal
Female
Follow-Up Studies
Heart Valve Prosthesis Implantation / methods*
Humans
Tomography, X-Ray Computed
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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