Transcatheter aortic valve-in-valve implantation of a CoreValve in a JenaValve prosthesis: A case report

被引：1

作者：

Lotfi S. ^{[1
]}

Becker M. ^{[2
]}

Moza A. ^{[1
]}

Autschbach R. ^{[1
]}

Marx N. ^{[2
]}

Schröder J. ^{[2
]}

机构：

[1] Department of Thoracic and Cardiovascular Surgery, RWTH University Aachen, Pauwelsstraße 30, Aachen

[2] Department of Cardiology, Internal Medicine Clinic i, RWTH University Aachen, Aachen

来源：

Journal of Medical Case Reports | / 11卷 / 1期

关键词：

Implantation; Severe aortic stenosis; TAVI; Valve-in-valve;

D O I：

10.1186/s13256-017-1409-x

中图分类号：

学科分类号：

摘要：

Background: Transcatheter aortic valve implantation has become an accepted treatment modality for inoperable or high-risk surgical patients with symptomatic severe aortic stenosis. Case presentation: We report the case of a 70-year-old white man who was treated for severe symptomatic aortic regurgitation using transcatheter aortic valve implantation from the apical approach. Because of recurrent cardiac decompensation 4 weeks after implantation he underwent the implantation of a left ventricular assist device system. A year later echocardiography showed a severe transvalvular central insufficiency. Our heart team decided to choose a valve-in-valve approach while reducing the flow rate of left ventricular assist device to minimum and pacing with a frequency of 140 beats/minute. There was an excellent result and our patient is doing well with no relevant insufficiency of the aortic valve at 12-month follow-up. Conclusion: This is the first report about a successful treatment of a stenotic JenaValve using a CoreValve Evolut R; the use of a CoreValve Evolut R prosthesis may be an optimal option for valve-in-valve procedures. © 2017 The Author(s).

引用

共 3 条

[1]

Cribier A., Eltchaninoff H., Bash A., Et al., Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: First human case description, Circulation, 106, pp. 3006-3008, (2002)

[2]

Ruiz C.E., Laborde J.C., Condado J.F., Chiam P.T.L., Condado J.A., First percutaneous transcatheter aortic valve-in-valve implant with three year follow-up, Catheter Cardiovasc Interv, 72, pp. 143-148, (2008)

[3]

Hammerstingl E., Nickening G., Grube E., Treatment of a degenerative stenosed CoreValve aortic bioprosthesis by transcatheter valve-in-valve insertion, Catheter Cardiovasc Interv, 79, pp. 748-755, (2012)

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