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Successful Transcatheter Valve-in-Valve Implantation in a Small Deteriorated Aortic Valve Bioprosthesis

Bjursten, Henrik LU ; Götberg, Matthias LU ; Harnek, Jan LU and Nozohoor, Shahab LU (2013) In Journal of Heart Valve Disease 22(3). p.433-435
Abstract
Increased life expectancy and improvement in clinical outcome following surgery has led to an increasing number of elderly patients with a history of prior aortic valve replacement (AVR). As a consequence, a considerable number of patients may require reintervention due to a dysfunctional bioprosthesis with structural valve deterioration (SVD). Transcatheter aortic valve implantation (TAVI) has become an established surgical alternative in patients with aortic stenosis and severe comorbidities. For those patients requiring reoperation, the 'valve-in-valve' concept has been described. Here, the case is reported of a patient with a very small Sorin Soprano 18 bioprosthesis with SVD who underwent a reintervention with the transapical... (More)
Increased life expectancy and improvement in clinical outcome following surgery has led to an increasing number of elderly patients with a history of prior aortic valve replacement (AVR). As a consequence, a considerable number of patients may require reintervention due to a dysfunctional bioprosthesis with structural valve deterioration (SVD). Transcatheter aortic valve implantation (TAVI) has become an established surgical alternative in patients with aortic stenosis and severe comorbidities. For those patients requiring reoperation, the 'valve-in-valve' concept has been described. Here, the case is reported of a patient with a very small Sorin Soprano 18 bioprosthesis with SVD who underwent a reintervention with the transapical valve-in-valve technique. The implantation was uneventful, with no residual paravalvular leakage and a low mean transprosthetic gradient. The valve-in-valve procedure may represent a feasible alternative for redo AVR in patients with a very small, structurally deteriorated bioprosthesis. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Heart Valve Disease
volume
22
issue
3
pages
433 - 435
publisher
ICR Publishers
external identifiers
  • wos:000321722100023
  • pmid:24151773
  • scopus:84891533714
ISSN
0966-8519
language
English
LU publication?
yes
id
622a6e70-3030-40dd-9daf-a3015d1314b3 (old id 3979257)
date added to LUP
2013-09-02 07:31:49
date last changed
2019-03-05 02:43:14
@article{622a6e70-3030-40dd-9daf-a3015d1314b3,
  abstract     = {Increased life expectancy and improvement in clinical outcome following surgery has led to an increasing number of elderly patients with a history of prior aortic valve replacement (AVR). As a consequence, a considerable number of patients may require reintervention due to a dysfunctional bioprosthesis with structural valve deterioration (SVD). Transcatheter aortic valve implantation (TAVI) has become an established surgical alternative in patients with aortic stenosis and severe comorbidities. For those patients requiring reoperation, the 'valve-in-valve' concept has been described. Here, the case is reported of a patient with a very small Sorin Soprano 18 bioprosthesis with SVD who underwent a reintervention with the transapical valve-in-valve technique. The implantation was uneventful, with no residual paravalvular leakage and a low mean transprosthetic gradient. The valve-in-valve procedure may represent a feasible alternative for redo AVR in patients with a very small, structurally deteriorated bioprosthesis.},
  author       = {Bjursten, Henrik and Götberg, Matthias and Harnek, Jan and Nozohoor, Shahab},
  issn         = {0966-8519},
  language     = {eng},
  number       = {3},
  pages        = {433--435},
  publisher    = {ICR Publishers},
  series       = {Journal of Heart Valve Disease},
  title        = {Successful Transcatheter Valve-in-Valve Implantation in a Small Deteriorated Aortic Valve Bioprosthesis},
  volume       = {22},
  year         = {2013},
}