Transcatheter ACURATE-TA Aortic Valve Implantation in a Patient With a Previous Mechanical Mitral Valve

被引：7

作者：

Bagur, Rodrigo

Kiaii, Bob

Teefy, Patrick J.

Diamantouros, Pantelis

Harle, Christopher

Goela, Aashish

Chan, Ian

Chu, Michael W. A.

机构：

[1] Univ Western Ontario, Univ Hosp, London Hlth Sci Ctr, Div Cardiol, London, ON N6A 5A5, Canada

[2] Univ Western Ontario, Univ Hosp, London Hlth Sci Ctr, Div Cardiac Surg, London, ON N6A 5A5, Canada

[3] Univ Western Ontario, Univ Hosp, London Hlth Sci Ctr, Div Cardiac Anesthesia, London, ON N6A 5A5, Canada

[4] Univ Western Ontario, Univ Hosp, London Hlth Sci Ctr, Div Radiol, London, ON N6A 5A5, Canada

来源：

ANNALS OF THORACIC SURGERY | 2015年 / 100卷 / 05期

关键词：

D O I：

10.1016/j.athoracsur.2015.06.116

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter aortic valve implantation (TAVI) in the presence of a mechanical mitral valve (MMV) prosthesis is still challenging because of the rigid mitral frame within the aortomitral curtain. Moreover, low-lying coronary ostia represent a hazardous problem of coronary obstruction, especially in narrow or porcelain aortic roots. The present case demonstrates the successful management of 2 challenging anatomical issues, the rigid cage of the MMV and the low-lying left main coronary ostium (LMCO), with the implantation of the ACURATE-TA bioprosthesis (Symetis SA, Ecublens, Switzerland). It also highlights the importance of having multiple TAVI devices in order to choose the ideal transcatheter aortic bioprosthesis to fit the unique anatomical presentation of the patient. (C) 2015 by The Society of Thoracic Surgeons

引用

页码：E115 / E117

页数：3

共 4 条

[1]

[Anonymous], ANN THORAC SURG

[2] Self-expandable transcatheter aortic valve implantation for aortic stenosis after mitral valve surgery [J].