Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy

被引：1
|
作者：
Christ, Torsten [1 ]
Dohmen, Pascal M. [1 ]
Laule, Michael [2 ]
Stangl, Karl [2 ]
Konertz, Wolfgang [1 ]
机构：
[1] Charite, Dept Cardiovasc Surg, Charitepl 1, D-10117 Berlin, Germany
[2] Charite, Dept Cardiol & Angiol, Berlin, Germany
来源：
THORACIC AND CARDIOVASCULAR SURGEON REPORTS | 2016年 / 5卷 / 01期
关键词：
aortic valve; heart valve; TAVI; cardiomyopathy; sutureless aortic valve;
D O I：
10.1055/s-0035-1554991
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background Transarterial valve intervention (TAVI) is valuable in high-risk patients, however, in case of left ventricular outflow tract (LVOT) obstruction, conventional surgery, including partial myectomy, is indicated. Case Description An 84-year-old female patient presented with increasing fatigue after TAVI in 2012, demonstrated a narrowed LVOT. Conventional surgery was performed, including removal of the transcathether valve, partial septal myectomy, and implantation of a sutureless valve. The postoperative course was uncomplicated. Conclusion Aortic valve stenosis combined with severe left-ventricular hypertrophy is not ideal for TAVI. Conventional surgery, performing partial septal myectomy and implantation of sutureless aortic prosthesis, seems more appropriate.
引用
收藏
页码：21 / 23
页数：3
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