HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Video Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Eric Dumont Daniel Doyle Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Rodés-Cabau, J. Articles by Lemieux, J. Search for Related Content PubMed PubMed Citation Articles by Rodés-Cabau, J. Articles by Lemieux, J. Related Collections Minimally invasive surgery Valve disease

J Thorac Cardiovasc Surg 2010;140:246-248
© 2010 The American Association for Thoracic Surgery

Brief Technique Report

Transcatheter valve-in-valve implantation for the treatment of stentless aortic valve dysfunction

Quebec Heart Institute and Lung Institute, Laval University, Quebec City, Quebec, Canada

Received for publication July 5, 2009; revisions received July 17, 2009; accepted for publication July 31, 2009.

^_* Address for reprints: Josep Rodés-Cabau, MD, FESC, Quebec Heart and Lung Institute, 2725 chemin Ste-Foy, G1V 4G5 Quebec City, Quebec, Canada. (Email: josep.rodes@crhl.ulaval.ca).

The first 20% of the full text of this article appears below.

	Introduction

 

Video clip is available online.

 
Reoperation for the treatment of stentless aortic valve dysfunction has been shown to be technically challenging and associated with a high operative mortality.¹ Transcatheter aortic valve implantation (TAVI) is emerging as an alternative to surgical aortic valve replacement for the treatment of patients with severe aortic stenosis who are considered to be at very high or prohibitive surgical risk. However, very few data exist on the use of TAVI for the treatment of bioprosthesis dysfunction. In this report we describe the use of TAVI for the treatment of stentless aortic bioprosthesis dysfunction.

	Clinical Summary

 
An 84-year-old woman was admitted to our hospital because of pulmonary edema. She had a history of hypertension, diabetes, prior stroke, chronic renal failure, coronary artery disease, peripheral vascular disease, and aortic valve replacement with a 23-mm Freestyle valve (Medtronic, Irvine, Calif) placed by using the subcoronary technique 13 years ago. Coronary angiographic analysis showed occlusion of the right coronary artery, and aortographic analysis demonstrated severe aortic regurgitation (Figure 1 , A). Doppler echocardiographic analysis showed the presence of severe transvalvular aortic regurgitation (Figure 1, B and C. . . [Full Text of this Article]

This article has been cited by other articles:

				J. Ye, J. G. Webb, A. Cheung, J. L. Soon, D. Wood, C. R. Thompson, B. Munt, R. Moss, and S. V. Lichtenstein Transapical transcatheter aortic valve-in-valve implantation: Clinical and hemodynamic outcomes beyond 2 years J. Thorac. Cardiovasc. Surg., June 1, 2013; 145(6): 1554 - 1562. [Abstract] [Full Text] [PDF]

				L. G. Svensson, D. H. Adams, R. O. Bonow, N. T. Kouchoukos, D. C. Miller, P. T. O'Gara, D. M. Shahian, H. V. Schaff, C. W. Akins, J. E. Bavaria, et al. Aortic Valve and Ascending Aorta Guidelines for Management and Quality Measures Ann. Thorac. Surg., June 1, 2013; 95(6_Supplement): S1 - S66. [Full Text] [PDF]

				L. Niclauss, L. K. von Segesser, and E. Ferrari Aortic biological valve prosthesis in patients younger than 65 years of age: transition to a flexible age limit? Interact CardioVasc Thorac Surg, April 1, 2013; 16(4): 501 - 507. [Abstract] [Full Text] [PDF]

				F. H. McCarthy, J. E. Bavaria, A. Pochettino, Z. Fox, P. Moeller, W. Y. Szeto, and N. D. Desai Comparing Aortic Root Replacements: Porcine Bioroots Versus Pericardial Versus Mechanical Composite Roots: Hemodynamic and Ventricular Remodeling at Greater Than One-Year Follow-Up Ann. Thorac. Surg., December 1, 2012; 94(6): 1975 - 1982. [Abstract] [Full Text] [PDF]

				D. Dvir, J. Webb, S. Brecker, S. Bleiziffer, D. Hildick-Smith, A. Colombo, F. Descoutures, C. Hengstenberg, N. E. Moat, R. Bekeredjian, et al. Transcatheter Aortic Valve Replacement for Degenerative Bioprosthetic Surgical Valves: Results From the Global Valve-in-Valve Registry Circulation, November 6, 2012; 126(19): 2335 - 2344. [Abstract] [Full Text] [PDF]

				Writing Committee Members:, D. R. Holmes Jr., M. J. Mack, S. Kaul, A. Agnihotri, K. P. Alexander, S. R. Bailey, J. H. Calhoon, B. A. Carabello, M. Y. Desai, et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement: Developed in collabration with the American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Failure Society of America, Mended Hearts, Society of Cardiovascular Anesthesiologists, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance J. Thorac. Cardiovasc. Surg., September 1, 2012; 144(3): e29 - e84. [Full Text] [PDF]

				D. R. Holmes Jr., M. J. Mack, S. Kaul, A. Agnihotri, K. P. Alexander, S. R. Bailey, J. H. Calhoon, B. A. Carabello, M. Y. Desai, F. H. Edwards, et al. 2012 ACCF/AATS/SCAI/STS Expert Consensus Document on Transcatheter Aortic Valve Replacement: Developed in collaboration with the American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Failure Society of America, Mended Hearts, Society of Cardiovascular Anesthesiologists, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance Ann. Thorac. Surg., April 1, 2012; 93(4): 1340 - 1395. [Full Text] [PDF]

				M. Wilbring, B. Sill, S. M. Tugtekin, K. Alexiou, G. Simonis, K. Matschke, and U. Kappert Transcatheter Valve-in-Valve Implantation for Deteriorated Aortic Bioprosthesis: Initial Clinical Results and Follow-Up in a Series of High-Risk Patients Ann. Thorac. Surg., March 1, 2012; 93(3): 734 - 741. [Abstract] [Full Text] [PDF]

				N. D. Desai, F. McCarthy, W. Moser, W. Y. Szeto, A. Zeeshan, D. Brown, Y. J. Woo, A. Pochettino, P. Moeller, and J. E. Bavaria Durability of Porcine Bioroots in Younger Patients With Aortic Root Pathology: A Propensity-Matched Comparison With Composite Mechanical Roots Ann. Thorac. Surg., December 1, 2011; 92(6): 2054 - 2061. [Abstract] [Full Text] [PDF]

				F. Descoutures, D. Himbert, C. Radu, B. Iung, C. Cueff, D. Messika-Zeitoun, G. Ducrocq, E. Brochet, P. Nataf, and A. Vahanian Transarterial Medtronic CoreValve System Implantation for Degenerated Surgically Implanted Aortic Prostheses Circ Cardiovasc Interv, October 1, 2011; 4(5): 488 - 494. [Abstract] [Full Text] [PDF]