Avtor/Urednik     Bunc, Matjaž; Šušteršič, Miha; Kocijančič, Igor; Lakič, Nikola; Ambrožič, Jana
Naslov     Transfemoral Edwards Sapien XT valve-in-valve implantation for failing Freedom Solo stentless aortic bioprosthesis
Tip     članek
Vol. in št.     Letnik 20, št. 6
Leto izdaje     2014
Obseg     str. 145-148
ISSN     1205-6626 - Experimental and clinical cardiology
Jezik     eng
Abstrakt     Percutaneous aortic valve implantation (TAVI) is well proved treatment option for high risk patients with sever aortic stenosis. TAVI is therefore an attractive treatment option for patients with failing bioprostheses (valve-in-valve concept), especially in elderly patients with high risk for reoperation. Although clinical experience is still limited for temporary off-label TAVI indication, the procedure has been shown to be feasible in stented as well as stentless bioprostheses. We report a successful implantation of Sapien XT 23 mm into degenerated Freedom Solo aortic bioprosthesis using transfemoral approach. Freedom solo stentless bioprosthesis is sutured in supra- annular position and presents a TAVI challenge due to the proximity to coronary ostia. Careful pre-procedural planning with TEE and CTA was crucial. Balloon valvuloplasty immediately before TAVI with contrast injection predicted the final result and is helpful for optimal procedure success and risk reduction. The final TAVR result was good. In 6 months follow up the patient is doing well.
Proste vsebinske oznake     TAVI
SOLO
implantation
TAVI
SOLO
vsadek