Open-heart transcatheter aortic valve replacement in complex aortic valve reoperation: about a case series

Aortic homograft and stentless aortic root are helpful in acute infective endocarditis of the aortic valve as biological conduit when total root replacement is required. Reoperation for failure of aortic homograft and stentless aortic root remains challenging for the surgeon as the entire root can b...

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Veröffentlicht in:European heart journal : case reports 2018-06, Vol.2 (2), p.yty064
Hauptverfasser: Leveille, Laury, Jaussaud, Nicolas, Theron, Alexis, Riberi, Alberto, Collart, Frederic
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container_start_page yty064
container_title European heart journal : case reports
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creator Leveille, Laury
Jaussaud, Nicolas
Theron, Alexis
Riberi, Alberto
Collart, Frederic
description Aortic homograft and stentless aortic root are helpful in acute infective endocarditis of the aortic valve as biological conduit when total root replacement is required. Reoperation for failure of aortic homograft and stentless aortic root remains challenging for the surgeon as the entire root can be heavily calcified. Here, are reported, three cases of patients successfully treated with open-heart transcatheter aortic valve replacement (TAVR) whereas no other prosthesis was implantable due to a massively calcified homograft or stentless prosthesis. Open-heart TAVR avoided the risk of complete root replacement which is higher than redo aortic valve replacement (AVR). This rescue technique facilitated risky surgical procedure by combining the strengths of both TAVR and conventional AVR.
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source Oxford Journals Open Access Collection; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Bacteriology
Cardiology and cardiovascular system
Case Series
Emerging diseases
Human health and pathology
Infectious diseases
Life Sciences
Microbiology and Parasitology
Parasitology
Virology
title Open-heart transcatheter aortic valve replacement in complex aortic valve reoperation: about a case series
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