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

被引：2

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

页码：21 / 23

页数：3

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