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Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation

The implantation of a left ventricular assist device (LVAD) has become an essential requirement for managing patients with end-stage heart failure. However, aortic valve insufficiency is a contraindication for LVAD implantation in patients with end-stage heart failure, partly because of the decreasi...

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Autores principales: Pya, Yuriy, Mussayev, Abdurashid, Novikova, Svetlana, Bekbossynova, Makhabbat, Alimbayev, Serik, Khissamutdinov, Nail, Kapyshev, Timur, Kuanyshbek, Aidyn, Lesbekov, Timur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10117784/
https://www.ncbi.nlm.nih.gov/pubmed/37089890
http://dx.doi.org/10.3389/fcvm.2023.1091420
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author Pya, Yuriy
Mussayev, Abdurashid
Novikova, Svetlana
Bekbossynova, Makhabbat
Alimbayev, Serik
Khissamutdinov, Nail
Kapyshev, Timur
Kuanyshbek, Aidyn
Lesbekov, Timur
author_facet Pya, Yuriy
Mussayev, Abdurashid
Novikova, Svetlana
Bekbossynova, Makhabbat
Alimbayev, Serik
Khissamutdinov, Nail
Kapyshev, Timur
Kuanyshbek, Aidyn
Lesbekov, Timur
author_sort Pya, Yuriy
collection PubMed
description The implantation of a left ventricular assist device (LVAD) has become an essential requirement for managing patients with end-stage heart failure. However, aortic valve insufficiency is a contraindication for LVAD implantation in patients with end-stage heart failure, partly because of the decreasing efficiency of mechanical circulatory support and the eventual development of right ventricular failure. Herein, we present the first case of performing transcatheter aortic valve replacement in valve-in-ring along with LVAD implantation for the treatment of a 60-year-old male suffering from refractory heart failure due to dilated cardiomyopathy and pure aortic insufficiency in need of a new aortic bioprosthesis. A balloon-expandable bioprosthetic transcatheter heart valve was implanted into a previously sewn annulus ring into the aortic root via transaortic access. Subsequently, a centrifugal-flow LVAD was implanted. Postoperatively, the patient was in New York Heart Association Functional Class (NYHA) II with 6-min walk test of 310 m. The patient has completed 6 months of follow-up with no events. This novel and feasible surgical technique reduced the cardiopulmonary bypass time and duration of surgery. Furthermore, it avoids the risk of redo sternotomy and decreases the chances of paravalvular leakage and worsening of aortic regurgitation.
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spelling pubmed-101177842023-04-21 Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation Pya, Yuriy Mussayev, Abdurashid Novikova, Svetlana Bekbossynova, Makhabbat Alimbayev, Serik Khissamutdinov, Nail Kapyshev, Timur Kuanyshbek, Aidyn Lesbekov, Timur Front Cardiovasc Med Cardiovascular Medicine The implantation of a left ventricular assist device (LVAD) has become an essential requirement for managing patients with end-stage heart failure. However, aortic valve insufficiency is a contraindication for LVAD implantation in patients with end-stage heart failure, partly because of the decreasing efficiency of mechanical circulatory support and the eventual development of right ventricular failure. Herein, we present the first case of performing transcatheter aortic valve replacement in valve-in-ring along with LVAD implantation for the treatment of a 60-year-old male suffering from refractory heart failure due to dilated cardiomyopathy and pure aortic insufficiency in need of a new aortic bioprosthesis. A balloon-expandable bioprosthetic transcatheter heart valve was implanted into a previously sewn annulus ring into the aortic root via transaortic access. Subsequently, a centrifugal-flow LVAD was implanted. Postoperatively, the patient was in New York Heart Association Functional Class (NYHA) II with 6-min walk test of 310 m. The patient has completed 6 months of follow-up with no events. This novel and feasible surgical technique reduced the cardiopulmonary bypass time and duration of surgery. Furthermore, it avoids the risk of redo sternotomy and decreases the chances of paravalvular leakage and worsening of aortic regurgitation. Frontiers Media S.A. 2023-04-06 /pmc/articles/PMC10117784/ /pubmed/37089890 http://dx.doi.org/10.3389/fcvm.2023.1091420 Text en © 2023 Pya, Mussayev, Novikova, Bekbossynova, Alimbayev, Khisammutdinov, Kupyshev, Kuanyshbek and Lesbekov. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Pya, Yuriy
Mussayev, Abdurashid
Novikova, Svetlana
Bekbossynova, Makhabbat
Alimbayev, Serik
Khissamutdinov, Nail
Kapyshev, Timur
Kuanyshbek, Aidyn
Lesbekov, Timur
Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation
title Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation
title_full Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation
title_fullStr Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation
title_full_unstemmed Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation
title_short Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation
title_sort case report: a novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10117784/
https://www.ncbi.nlm.nih.gov/pubmed/37089890
http://dx.doi.org/10.3389/fcvm.2023.1091420
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