Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy

Background Transarterial valve intervention (TAVI) is valuable in high-risk patients, however, in case of left ventricular outflow tract (LVOT) obstruction, conventional surgery, including partial myectomy, is indicated. Case Description An 84-year-old female patient presented with increasing fatigu...

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Autores principales: Christ, Torsten, Dohmen, Pascal M., Laule, Michael, Stangl, Karl, Konertz, Wolfgang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2015
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5177443/
https://www.ncbi.nlm.nih.gov/pubmed/28018815
http://dx.doi.org/10.1055/s-0035-1554991
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author Christ, Torsten
Dohmen, Pascal M.
Laule, Michael
Stangl, Karl
Konertz, Wolfgang
author_facet Christ, Torsten
Dohmen, Pascal M.
Laule, Michael
Stangl, Karl
Konertz, Wolfgang
author_sort Christ, Torsten
collection PubMed
description Background Transarterial valve intervention (TAVI) is valuable in high-risk patients, however, in case of left ventricular outflow tract (LVOT) obstruction, conventional surgery, including partial myectomy, is indicated. Case Description An 84-year-old female patient presented with increasing fatigue after TAVI in 2012, demonstrated a narrowed LVOT. Conventional surgery was performed, including removal of the transcathether valve, partial septal myectomy, and implantation of a sutureless valve. The postoperative course was uncomplicated. Conclusion Aortic valve stenosis combined with severe left-ventricular hypertrophy is not ideal for TAVI. Conventional surgery, performing partial septal myectomy and implantation of sutureless aortic prosthesis, seems more appropriate.
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spelling pubmed-51774432016-12-23 Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy Christ, Torsten Dohmen, Pascal M. Laule, Michael Stangl, Karl Konertz, Wolfgang Thorac Cardiovasc Surg Rep Background Transarterial valve intervention (TAVI) is valuable in high-risk patients, however, in case of left ventricular outflow tract (LVOT) obstruction, conventional surgery, including partial myectomy, is indicated. Case Description An 84-year-old female patient presented with increasing fatigue after TAVI in 2012, demonstrated a narrowed LVOT. Conventional surgery was performed, including removal of the transcathether valve, partial septal myectomy, and implantation of a sutureless valve. The postoperative course was uncomplicated. Conclusion Aortic valve stenosis combined with severe left-ventricular hypertrophy is not ideal for TAVI. Conventional surgery, performing partial septal myectomy and implantation of sutureless aortic prosthesis, seems more appropriate. Georg Thieme Verlag KG 2015-07-10 2016-12 /pmc/articles/PMC5177443/ /pubmed/28018815 http://dx.doi.org/10.1055/s-0035-1554991 Text en © Thieme Medical Publishers
spellingShingle Christ, Torsten
Dohmen, Pascal M.
Laule, Michael
Stangl, Karl
Konertz, Wolfgang
Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy
title Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy
title_full Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy
title_fullStr Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy
title_full_unstemmed Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy
title_short Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy
title_sort sutureless aortic valve replacement in a patient with transfemoral aortic valve replacement and left ventricular hypertrophy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5177443/
https://www.ncbi.nlm.nih.gov/pubmed/28018815
http://dx.doi.org/10.1055/s-0035-1554991
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AT laulemichael suturelessaorticvalvereplacementinapatientwithtransfemoralaorticvalvereplacementandleftventricularhypertrophy
AT stanglkarl suturelessaorticvalvereplacementinapatientwithtransfemoralaorticvalvereplacementandleftventricularhypertrophy
AT konertzwolfgang suturelessaorticvalvereplacementinapatientwithtransfemoralaorticvalvereplacementandleftventricularhypertrophy

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