Details

Autor(en) / Beteiligte

• Schleger, Simone, MD
• Kasel, Markus, MD
• Vogel, Jayshree, MS
• Lieber, Michael, MD
• Antoni, Dietmar, MD
• Hoffmann, Ellen, MD, PhD
• Eichinger, Walter B., MD, PhD

Titel

Successful Transapical Implantation of an Edwards Sapien Valve Within an Insufficient Aortic CoreValve Prosthesis: An Initial Experience

Ist Teil von

• The Annals of thoracic surgery, 2013-03, Vol.95 (3), p.1070-1072

Ort / Verlag

Netherlands: Elsevier Inc

Erscheinungsjahr

2013

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• Transcatheter aortic valve implantation (TAVI) has become an emerging alternative for high-risk patients with aortic stenosis unsuitable for surgical intervention. We report the case of a 26-mm Edwards Sapien valve (Edwards Lifesciences, Irvine, CA) implanted into an insufficient 29-mm CoreValve prosthesis (Medtronic Inc, Minneapolis, MN) 1 year after implantation using the transapical approach in a 59-year-old man. Transesophageal echocardiography showed severe paravalvular regurgitation and computed tomography revealed the CoreValve to be located slightly below the aortic annulus with evidence of underdeployment. The balloon-expandable Sapien system caused a better expansion of the underdeployed CoreValve and the pericardial skirt adequately covered the leakage. The paravalvular regurgitation disappeared and the patient recovered.