Gennari M, Giambuzzi I, Polvani G, Agrifoglio M. TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports.
J Cardiothorac Surg 2019;
14:208. [PMID:
31775822 PMCID:
PMC6881997 DOI:
10.1186/s13019-019-1036-2]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 11/18/2019] [Indexed: 11/17/2022] Open
Abstract
Background
Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit.
Case presentation
We present a case of a patient who underwent open surgery on cardiopulmonary bypass assistance to implant a standard transcatheter aortic bioprosthesis through aortotomy in an off-label procedure and we discuss its safety and feasibility.
Conclusions
The combination of open cardiac surgery and open trans-aortic implant of a transcatheter prosthesis may reduce the surgical risk shrinking the technical difficulties that the implantation of a standard surgical prosthesis would have given.
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