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/ZeitungAndere (Vorworte u.ä.)Forschung

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@article{491fed6490d74572a4efc37f7faa9c4a,
title = "Structural Valve Deterioration of a Subcoronary Implanted Stentless Bioprosthesis: How to Treat?",
abstract = "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.",
keywords = "Aged, Angiography, Aortic Valve Stenosis/surgery, Bioprosthesis/adverse effects, Device Removal/methods, Heart Valve Prosthesis/adverse effects, Humans, Male, Multidetector Computed Tomography, Prosthesis Design, Prosthesis Failure",
author = "Harmel, {Eva Karolina} and Lenard Conradi and Ulrich Sch{\"a}fer and Florian Deuschl and Niklas Schofer and Stefan Blankenberg and Hermann Reichenspurner and Evaldas Girdauskas",
note = "Copyright {\textcopyright} 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.",
year = "2017",
month = jul,
doi = "10.1016/j.athoracsur.2017.01.109",
language = "English",
volume = "104",
pages = "e53--e55",
journal = "ANN THORAC SURG",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "1",

}

RIS

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 -