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Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report
BACKGROUND: Transcatheter aortic valve replacement (TAVR) via an antegrade transapical access (TA-TAVR) is largely reserved to cases not amenable to transfemoral TAVR. Challenges resulting from unusual thoracic anatomies may require special considerations in terms of the surgical access. CASE PRESEN...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285519/ https://www.ncbi.nlm.nih.gov/pubmed/32517781 http://dx.doi.org/10.1186/s13019-020-01181-4 |
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author | Beiras-Fernandez, Andres Kornberger, Angela Geyer, Martin Tamm, Alexander von Bardeleben, Ralph Stephan |
author_facet | Beiras-Fernandez, Andres Kornberger, Angela Geyer, Martin Tamm, Alexander von Bardeleben, Ralph Stephan |
author_sort | Beiras-Fernandez, Andres |
collection | PubMed |
description | BACKGROUND: Transcatheter aortic valve replacement (TAVR) via an antegrade transapical access (TA-TAVR) is largely reserved to cases not amenable to transfemoral TAVR. Challenges resulting from unusual thoracic anatomies may require special considerations in terms of the surgical access. CASE PRESENTATION: We present a case of TA-TAVR through a subxiphoidal approach in a patient who had undergone extensive thoracic surgery 8 years previously. CONCLUSION: Our case demonstrates that unusual anatomic features should not discourage from TA-TAVR but may require unusual approaches designed on a case-to-case basis following careful interdisciplinary preparation and planning including adequate pre-operative diagnostics and imaging. |
format | Online Article Text |
id | pubmed-7285519 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72855192020-06-10 Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report Beiras-Fernandez, Andres Kornberger, Angela Geyer, Martin Tamm, Alexander von Bardeleben, Ralph Stephan J Cardiothorac Surg Case Report BACKGROUND: Transcatheter aortic valve replacement (TAVR) via an antegrade transapical access (TA-TAVR) is largely reserved to cases not amenable to transfemoral TAVR. Challenges resulting from unusual thoracic anatomies may require special considerations in terms of the surgical access. CASE PRESENTATION: We present a case of TA-TAVR through a subxiphoidal approach in a patient who had undergone extensive thoracic surgery 8 years previously. CONCLUSION: Our case demonstrates that unusual anatomic features should not discourage from TA-TAVR but may require unusual approaches designed on a case-to-case basis following careful interdisciplinary preparation and planning including adequate pre-operative diagnostics and imaging. BioMed Central 2020-06-09 /pmc/articles/PMC7285519/ /pubmed/32517781 http://dx.doi.org/10.1186/s13019-020-01181-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Beiras-Fernandez, Andres Kornberger, Angela Geyer, Martin Tamm, Alexander von Bardeleben, Ralph Stephan Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report |
title | Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report |
title_full | Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report |
title_fullStr | Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report |
title_full_unstemmed | Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report |
title_short | Echocardiography-guided subxiphoidal transapical TAVR in a challenging anatomy: a case report |
title_sort | echocardiography-guided subxiphoidal transapical tavr in a challenging anatomy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285519/ https://www.ncbi.nlm.nih.gov/pubmed/32517781 http://dx.doi.org/10.1186/s13019-020-01181-4 |
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