The use of balloon-expandable Sapien-3 valve in redo aortic valve replacement and the potential risk of left main stem occlusion
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Theologou, Thomas
ORCID
Department of Cardiac Surgery, Institute Cardiocentro Ticino, Lugano, Switzerland - Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
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Clivio, Sara
Department of Cardiac Anesthesia, Institute Cardiocentro Ticino, Lugano, Switzerland
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Younes, Adel
Department of Cardiac Surgery, Institute Cardiocentro Ticino, Lugano, Switzerland
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Demertzis, Stefanos
Department of Cardiac Surgery, Institute Cardiocentro Ticino, Lugano, Switzerland - Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
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Ferrari, Enrico
Department of Cardiac Surgery, Institute Cardiocentro Ticino, Lugano, Switzerland - Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
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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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Medicine
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CC BY
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hybrid
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https://n2t.net/ark:/12658/srd1325693
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