Structural Valve Deterioration of a Subcoronary Implanted Stentless Bioprosthesis: How to Treat?
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Structural Valve Deterioration of a Subcoronary Implanted Stentless Bioprosthesis: How to Treat? / Harmel, Eva Karolina; Conradi, Lenard; Schäfer, Ulrich; Deuschl, Florian; Schofer, Niklas; Blankenberg, Stefan; Reichenspurner, Hermann; Girdauskas, Evaldas.
in: ANN THORAC SURG, Jahrgang 104, Nr. 1, 07.2017, S. e53-e55.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › Andere (Vorworte u.ä.) › Forschung
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TY - JOUR
T1 - Structural Valve Deterioration of a Subcoronary Implanted Stentless Bioprosthesis: How to Treat?
AU - Harmel, Eva Karolina
AU - Conradi, Lenard
AU - Schäfer, Ulrich
AU - Deuschl, Florian
AU - Schofer, Niklas
AU - Blankenberg, Stefan
AU - Reichenspurner, Hermann
AU - Girdauskas, Evaldas
N1 - Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
PY - 2017/7
Y1 - 2017/7
N2 - We present a case of transcatheter valve-in-valve replacement performed because of structural valve deterioration of a subcoronary implanted stentless aortic bioprosthesis. A 23-mm self-expandable transcatheter heart valve (THV) with supraannular seating was chosen. The procedure was performed with the patient under conscious sedation. After anchoring and partial valve deployment, the patient experienced an acute onset of angina. The angiogram showed left main coronary artery obstruction. Prompt resheathing and retrieval of the THV was performed, and the procedure was aborted. Subsequently, an open-heart redo operation was performed by the use of a sutureless aortic bioprosthesis, with satisfactory hemodynamic and clinical results.
AB - We present a case of transcatheter valve-in-valve replacement performed because of structural valve deterioration of a subcoronary implanted stentless aortic bioprosthesis. A 23-mm self-expandable transcatheter heart valve (THV) with supraannular seating was chosen. The procedure was performed with the patient under conscious sedation. After anchoring and partial valve deployment, the patient experienced an acute onset of angina. The angiogram showed left main coronary artery obstruction. Prompt resheathing and retrieval of the THV was performed, and the procedure was aborted. Subsequently, an open-heart redo operation was performed by the use of a sutureless aortic bioprosthesis, with satisfactory hemodynamic and clinical results.
KW - Aged
KW - Angiography
KW - Aortic Valve Stenosis/surgery
KW - Bioprosthesis/adverse effects
KW - Device Removal/methods
KW - Heart Valve Prosthesis/adverse effects
KW - Humans
KW - Male
KW - Multidetector Computed Tomography
KW - Prosthesis Design
KW - Prosthesis Failure
U2 - 10.1016/j.athoracsur.2017.01.109
DO - 10.1016/j.athoracsur.2017.01.109
M3 - Other (editorial matter etc.)
C2 - 28633263
VL - 104
SP - e53-e55
JO - ANN THORAC SURG
JF - ANN THORAC SURG
SN - 0003-4975
IS - 1
ER -