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
- 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
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- English
- Classification
- Medicine
- License
- CC BY
- Open access status
- hybrid
- Identifiers
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- DOI 10.1111/jocs.16462
- ARK ark:/12658/srd1325693
- Persistent URL
- https://n2t.net/ark:/12658/srd1325693
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