Bioprosthetic valve fracture: haemodynamically effective but safe and clinically necessary?

2021 ◽  
Vol 17 (10) ◽  
pp. 785-786
Author(s):  
Josep Rodés-Cabau ◽  
Alberto Alperi
Keyword(s):  
Bioprosthetic Valve

scholarly journals Valve-in-valve transcatheter aortic valve implantation with fracturing of a failed small surgical aortic bioprosthesis: a case report

2020 ◽  
Author(s):  
Matjaz Bunc ◽  
Miha Cercek ◽  
Tomaz Podlesnikar ◽  
Simon Terseglav ◽  
Klemen Steblovnik
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Ex Vivo ◽  
Bioprosthetic Valve ◽  
Heart Team ◽  
Transcatheter Aortic Valve ◽  
Patient Prosthesis Mismatch ◽  
Valve In Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Abstract Background Failure of a small surgical aortic bioprosthesis represents a challenging clinical scenario with valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) often resulting in patient-prosthesis mismatch. Bioprosthetic valve fracture (BVF) performed as a part of the ViV TAVI has recently emerged as an alternative approach with certain types of surgical bioprostheses. Case summary An 81-year-old woman with a history of three surgical aortic valve procedures presented with heart failure. Aortic bioprosthesis degeneration with severe stenosis and moderate regurgitation was found. The patient was deemed a high-risk surgical candidate and the heart team decided that ViV TAVI was the preferred treatment option. Due to the very small 19 mm stented surgical aortic bioprosthesis Mitroflow 19 mm (Sorin Group, Italy) we decided to perform BVF as a part of ViV TAVI to prevent patient-prosthesis mismatch. Since this was the first BVF procedure in our centre, an ex vivo BVF of the same kind of bioprosthetic valve was performed first. Subsequently, successful BVF with implantation of Evolut R 23 mm (Medtronic, USA) self-expandable transcatheter valve was performed. Excellent haemodynamic result was achieved and no periprocedural complications were present. The patient had an immediate major improvement in clinical status and remains asymptomatic after 6 months. Discussion Bioprosthetic valve fracture together with ViV TAVI is a safe and effective emerging technique for treatment of small surgical aortic bioprosthesis failure. Bioprosthetic valve fracture allows marked oversizing of implanted self-expandable transcatheter aortic valves, leading to excellent haemodynamic and clinical results. An ex vivo BVF can serve as an important preparatory step when introducing the new method.

Assessment of aortic bioprosthetic valve fracture by Computed Tomography Angiography

2020 ◽  
Author(s):  
Go Hashimoto ◽  
João L. Cavalcante ◽  
Michael R. Mooney ◽  
Marcus R. Burns ◽  
Anene C. Ukaigwe ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Angiography ◽  
Bioprosthetic Valve

Early Aortic Bioprosthetic Valve Deterioration in an Octogenarian

2008 ◽  
Vol 86 (4) ◽  
pp. 1369-1371 ◽  
Author(s):  
Hironori Izutani ◽  
Takanori Shibukawa ◽  
Jun Kawamoto ◽  
Shingo Mochiduki ◽  
Dairoku Nishikawa
Keyword(s):  
Bioprosthetic Valve

Minimally immunogenic decellularized porcine valve provides in situ recellularization as a stentless bioprosthetic valve

2007 ◽  
Vol 10 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Shigemitsu Iwai ◽  
Kei Torikai ◽  
Chris M. Coppin ◽  
Yoshiki Sawa
Keyword(s):  
Bioprosthetic Valve

Serial Doppler Gradients Are Predictive of Future Bioprosthetic Valve Degeneration

1998 ◽  
Vol 15 (4) ◽  
pp. 337-344
Author(s):  
NIRAJ K. PRASAD ◽  
MOHSIN ALAM ◽  
HOWARD S. ROSMAN ◽  
AMJAD FARHA ◽  
NORMAN A. SILVERMAN
Keyword(s):  
Bioprosthetic Valve

scholarly journals An unusual cause of early aortic bioprosthetic valve failure

2016 ◽  
Vol 17 (4) ◽  
pp. 428-428
Author(s):  
Shinjeong Song ◽  
Chi Young Shim ◽  
Hyo Sup Shim ◽  
Geu-Ru Hong ◽  
Byung-Chul Chang
Keyword(s):  
Bioprosthetic Valve
Sign in / Sign up

Export Citation Format

Share Document