Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus

Transcatheter aortic valve replacement (TAVR) is a treatment of choice in patients with symptomatic severe aortic valve stenosis (AS) and intermediate-to-high surgical risk. The presence of a small aortic annulus (SAA) has been associated with a higher incidence of prosthesis–patient mismatch (PPM)...

Descripción completa

Detalles Bibliográficos
Autores principales: Medda, Massimo, Casilli, Francesco, Bande, Marta, Tespili, Maurizio, Donatelli, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Cardiovascular Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545879/
https://www.ncbi.nlm.nih.gov/pubmed/37795479
http://dx.doi.org/10.3389/fcvm.2023.1195486
_version_ 1785114757244649472
author Medda, Massimo
Casilli, Francesco
Bande, Marta
Tespili, Maurizio
Donatelli, Francesco
author_facet Medda, Massimo
Casilli, Francesco
Bande, Marta
Tespili, Maurizio
Donatelli, Francesco
author_sort Medda, Massimo
collection PubMed
description Transcatheter aortic valve replacement (TAVR) is a treatment of choice in patients with symptomatic severe aortic valve stenosis (AS) and intermediate-to-high surgical risk. The presence of a small aortic annulus (SAA) has been associated with a higher incidence of prosthesis–patient mismatch (PPM) when surgical aortic valve replacement (sAVR) is performed. TAVR might be a treatment option offering better hemodynamics with a lower incidence of PPM. When a severe AS with a SAA is treated, TAVR-related risk as the coronary obstruction and the annulus rupture, must be also prevented. We present a case of a TAVR in a very small aortic annulus; to our knowledge, this is the smallest native aortic annulus treated percutaneously in a tricuspid stenotic aortic valve with a Self-Expanding Transcatheter Heart Valve (THV) Acurate Neo 2.
format Online
Article
Text
id pubmed-10545879
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-105458792023-10-04 Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus Medda, Massimo Casilli, Francesco Bande, Marta Tespili, Maurizio Donatelli, Francesco Front Cardiovasc Med Cardiovascular Medicine Transcatheter aortic valve replacement (TAVR) is a treatment of choice in patients with symptomatic severe aortic valve stenosis (AS) and intermediate-to-high surgical risk. The presence of a small aortic annulus (SAA) has been associated with a higher incidence of prosthesis–patient mismatch (PPM) when surgical aortic valve replacement (sAVR) is performed. TAVR might be a treatment option offering better hemodynamics with a lower incidence of PPM. When a severe AS with a SAA is treated, TAVR-related risk as the coronary obstruction and the annulus rupture, must be also prevented. We present a case of a TAVR in a very small aortic annulus; to our knowledge, this is the smallest native aortic annulus treated percutaneously in a tricuspid stenotic aortic valve with a Self-Expanding Transcatheter Heart Valve (THV) Acurate Neo 2. Frontiers Media S.A. 2023-09-15 /pmc/articles/PMC10545879/ /pubmed/37795479 http://dx.doi.org/10.3389/fcvm.2023.1195486 Text en © 2023 Medda, Casilli, Bande, Tespili and Donatelli. 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
Medda, Massimo
Casilli, Francesco
Bande, Marta
Tespili, Maurizio
Donatelli, Francesco
Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus
title Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus
title_full Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus
title_fullStr Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus
title_full_unstemmed Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus
title_short Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus
title_sort case report: self-expanding transcatheter valve implantation (acurate neo 2) in a very small native aortic annulus
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545879/
https://www.ncbi.nlm.nih.gov/pubmed/37795479
http://dx.doi.org/10.3389/fcvm.2023.1195486
work_keys_str_mv AT meddamassimo casereportselfexpandingtranscathetervalveimplantationacurateneo2inaverysmallnativeaorticannulus
AT casillifrancesco casereportselfexpandingtranscathetervalveimplantationacurateneo2inaverysmallnativeaorticannulus
AT bandemarta casereportselfexpandingtranscathetervalveimplantationacurateneo2inaverysmallnativeaorticannulus
AT tespilimaurizio casereportselfexpandingtranscathetervalveimplantationacurateneo2inaverysmallnativeaorticannulus
AT donatellifrancesco casereportselfexpandingtranscathetervalveimplantationacurateneo2inaverysmallnativeaorticannulus

Ejemplares similares