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

Theologou, Thomas; Clivio, Sara; Younes, Adel; Demertzis, Stefanos; Ferrari, Enrico

doi:10.1111/jocs.16462

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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

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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