Background Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit. Case presentation We present a case of a patient who underwent open surgery on cardiopulmonary bypass assistance to implant a standard transcatheter aortic bioprosthesis through aortotomy in an off-label procedure and we discuss its safety and feasibility. Conclusions The combination of open cardiac surgery and open trans-aortic implant of a transcatheter prosthesis may reduce the surgical risk shrinking the technical difficulties that the implantation of a standard surgical prosthesis would have given.
TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports / M. Gennari, I. Giambuzzi, G. Polvani, M. Agrifoglio. - In: JOURNAL OF CARDIOTHORACIC SURGERY. - ISSN 1749-8090. - 14:1(2019 Nov 27). [10.1186/s13019-019-1036-2]
TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports
I. GiambuzziSecondo
;G. PolvaniPenultimo
;M. AgrifoglioUltimo
2019
Abstract
Background Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit. Case presentation We present a case of a patient who underwent open surgery on cardiopulmonary bypass assistance to implant a standard transcatheter aortic bioprosthesis through aortotomy in an off-label procedure and we discuss its safety and feasibility. Conclusions The combination of open cardiac surgery and open trans-aortic implant of a transcatheter prosthesis may reduce the surgical risk shrinking the technical difficulties that the implantation of a standard surgical prosthesis would have given.File | Dimensione | Formato | |
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