scholarly journals Transcatheter CoreValve valve‐in‐valve implantation in a stentless porcine aortic valve for severe aortic regurgitation

2014 ◽  
Vol 2 (6) ◽  
pp. 281-285 ◽  
Author(s):  
Celina M. Yong ◽  
Maurice Buchbinder ◽  
John C. Giacomini
2011 ◽  
Vol 4 (11) ◽  
pp. 1248-1249 ◽  
Author(s):  
Rodrigo Bagur ◽  
Josep Rodés-Cabau ◽  
Robert De Larochellière ◽  
Daniel Doyle ◽  
Michel Rheault ◽  
...  

Author(s):  
Ulrike Krumsdorf ◽  
Raffi Bekeredjian ◽  
Grigorios Korosoglou ◽  
Joerg Kreuzer ◽  
Benjamin J. Rieck ◽  
...  

2020 ◽  
Vol 26 (1) ◽  
pp. 58-70
Author(s):  
Aleksandra Cherneva ◽  
Zoran Stankov ◽  
Naidenka Zlatareva ◽  
Iveta Tasheva ◽  
Georgi Dobrev ◽  
...  

We report a case of a high-risk 73-year–old patient with a combined aortic valve disease with predominant severe, symptomatic aortic regurgitation and a history of an end-stage respiratory failure with prohibitive surgical risk who was successfully treated using a minimalist approach to implant off-label а self-expandable Medtronic Evolut R prosthesis. This case report demonstrates that the self-expandable prosthesis Medtronic Evolut R might be implanted without tissue damage and migration in a moderate-calcified tricuspid aortic valve with predominant regurgitation and mild stenosis with satisfactory hemodynamic results and improvement in functional class heart failure in a patient with concomitant severe respiratory failure.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
V Veulemans ◽  
K Hellhammer ◽  
O Maier ◽  
K Klein ◽  
S Afzal ◽  
...  

Abstract Background The recently released largest self-expanding transcatheter aortic valve device (STHV-34) is characterized by good results but nevertheless demands an experienced team for the implantation in large annuli. Purpose Looking at multi slice computed tomography (MSCT) and procedural data, we tried to identify characteristics that could explain intraprocedural VARC-2 and valve specific non-VARC-2 events. Methods We performed a single center retrospective analysis in 80 patients treated with STHV-34. STHV-34 patients were separated into subjects without events (NE, n=43, 54%) and the following adverse events: resheathing/-capture processes (RS/C, n=19, 24%), valve dislodgments (VD, n=21; 26%), infolding (IF, n=6, 8%) and complete dislocation with bail-out valve-in-valve implantation (ViV, n=3, 4%). Events were further categorized in non-VARC-2 and VARC-2. The analysis sought for underlying anatomical conditions and defined risk factors by multivariate analysis. Results Primary device success was reached in 96% and immediate postprocedural absence of moderate-to-severe aortic regurgitation was 100%. We identified specific anatomical conditions predisposing for non-VARC-2 and VARC-2 events: RS/C: annular calcium load<1600 AU (OR 47 [CI 1.4–216], p=0.0004). IF: peripheral kinking (RR 5.0 [CI 1.0–24], p=0.0478) and previous RS/C maneuvers (83%). ViV: annular ellipticity index (NS 1.2±0.1 vs. ViV 1.4±0.1, p=0.0049), aortic angulation (AA) angle (NS 54.0±7.0° vs. ViV 61.7±1.5°, p=0.0240) and LVOT-AO angle (NS 149.1±18.9° vs. ViV 130.3±3.5°, p=0.0470). Conclusion We confirm high procedural success for the largest currently available STHV-34. The incidence of intraprocedural non-VARC-2 and VARC-2 events are associated with anatomical characteristics that may influence valve selection and implantation strategy.


2010 ◽  
Vol 140 (4) ◽  
pp. 930-932 ◽  
Author(s):  
Gregory Ducrocq ◽  
Dominique Himbert ◽  
Ulrik Hvass ◽  
Alec Vahanian

2012 ◽  
Vol 23 (1) ◽  
pp. 108-110
Author(s):  
Tahir Hamid ◽  
Ragheb Hasan ◽  
Vaikom S. Mahadevan

AbstractWe report the case of a 78-year-old patient who underwent transcatheter aortic valve implantation. During the deployment, the leaflets of the implanted valve appeared to be stuck in calcium protruding from the native aortic leaflets, resulting in transient severe aortic regurgitation leading to cardiac arrest with successful cardiac resuscitation. Transient severe aortic regurgitation secondary to the mechanical failure of the deployed valve can lead to serious clinical consequences.


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