Display options
Cite
Karimi A, Pourafshar N, Dibu G, et al. High-risk Trans-Catheter Aortic Valve Replacement in a Failed Freestyle Valve with Low Coronary Height: A Case Report. Cardiol Ther. 2017;6(1):145-150doi: 10.1007/s40119-017-0088-4.
Karimi, A., Pourafshar, N., Dibu, G., Beaver, T. M., & Bavry, A. A. (2017). High-risk Trans-Catheter Aortic Valve Replacement in a Failed Freestyle Valve with Low Coronary Height: A Case Report. Cardiology and therapy, 6(1), 145-150. https://doi.org/10.1007/s40119-017-0088-4
Karimi, Ashkan, et al. "High-risk Trans-Catheter Aortic Valve Replacement in a Failed Freestyle Valve with Low Coronary Height: A Case Report." Cardiology and therapy vol. 6,1 (2017): 145-150. doi: https://doi.org/10.1007/s40119-017-0088-4
Karimi A, Pourafshar N, Dibu G, Beaver TM, Bavry AA. High-risk Trans-Catheter Aortic Valve Replacement in a Failed Freestyle Valve with Low Coronary Height: A Case Report. Cardiol Ther. 2017 Jun;6(1):145-150. doi: 10.1007/s40119-017-0088-4. Epub 2017 Mar 28. PMID: 28353137; PMCID: PMC5446821.
Copy Download .nbib Format: NLM
Share it on

Cardiol Ther. 2017 Jun;6(1):145-150. doi: 10.1007/s40119-017-0088-4. Epub 2017 Mar 28.

High-risk Trans-Catheter Aortic Valve Replacement in a Failed Freestyle Valve with Low Coronary Height: A Case Report.

Cardiology and therapy

Ashkan Karimi, Negiin Pourafshar, George Dibu, Thomas M Beaver, Anthony A Bavry

Affiliations

  1. Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, FL, USA.
  2. Division of Nephrology, Department of Medicine, University of Virginia, Charlottesville, VA, USA.
  3. Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, FL, USA.
  4. Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, FL, USA. [email protected].
  5. North Florida/South Georgia Veterans Health System, Gainesville, FL, USA. [email protected].

PMID: 28353137 PMCID: PMC5446821 DOI: 10.1007/s40119-017-0088-4

Abstract

A 55-year-old male with a history of two prior cardiac surgeries presented with decompensated heart failure due to severe bioprosthetic aortic valve insufficiency. A third operation was viewed prohibitively high risk and valve-in-valve trans-catheter aortic valve replacement was considered. There were however several high-risk features and technically challenging aspects including low coronary ostia height, poor visualization of the aortic sinuses, and difficulty in identification of the coplanar view due to severe aortic insufficiency, and a highly mobile aortic valve mass. After meticulous peri-procedural planning, trans-catheter aortic valve replacement was carried out with a SAPIEN 3 balloon-expandable valve without any complication. Strategies undertaken to navigate the technically challenging aspects of the case are discussed.

Keywords: Bioprosthesis; Edwards SAPIEN 3 valve; Freestyle aortic root; Trans-catheter aortic valve replacement; Valve-in-valve

References

  1. EuroIntervention. 2015 Sep;11(5):572-81 - PubMed
  2. JACC Cardiovasc Interv. 2013 May;6(5):452-61 - PubMed
  3. Circ Cardiovasc Interv. 2015 Jan;8(1):null - PubMed
  4. JACC Cardiovasc Interv. 2015 Aug 17;8(9):1261-3 - PubMed
  5. Ann Thorac Surg. 2007 Sep;84(3):737-43; discussion 743-4 - PubMed
  6. JACC Cardiovasc Interv. 2014 Feb;7(2):115-27 - PubMed
  7. J Am Coll Cardiol. 2013 Oct 22;62(17):1552-62 - PubMed

Publication Types