Journal article

The use of balloon-expandable Sapien-3 valve in redo aortic valve replacement and the potential risk of left main stem occlusion

  • Theologou, Thomas ORCID Department of Cardiac Surgery, Institute Cardiocentro Ticino, Lugano, Switzerland - Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
  • Clivio, Sara Department of Cardiac Anesthesia, Institute Cardiocentro Ticino, Lugano, Switzerland
  • Younes, Adel Department of Cardiac Surgery, Institute Cardiocentro Ticino, Lugano, Switzerland
  • Demertzis, Stefanos Department of Cardiac Surgery, Institute Cardiocentro Ticino, Lugano, Switzerland - Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
  • Ferrari, Enrico Department of Cardiac Surgery, Institute Cardiocentro Ticino, Lugano, Switzerland - Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
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  • 2022
Published in:
  • Journal of cardiac surgery. - 2022, vol. 37, no. 6, p. 1740-1742
English Redo aortic valve surgery for the failure of a previously implanted valve is always challenging. In case of small-sized implanted valves, the use of a balloon-expanding Sapien-3 valve can enhance the final effective orifice area, avoid annulus enlargement complex techniques, and can reduce operative time and morbidities. We describe a case where after explanting a failed 19 mm St. Jude mechanical aortic valve and further deployment of a 23 mm Sapien-3 valve, the left coronary ostia was obstructed by the skirt of the transcatheter prosthesis. After careful removal of a little part of the skirt, we were able to restore the coronary flow and the patient had a favorable outcome.
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Language
  • English
Classification
Medicine
License
CC BY
Open access status
hybrid
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Persistent URL
https://n2t.net/ark:/12658/srd1325693
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