Direct access valve-in-valve implantation for management of complex valvulopathy.
Alexander P KossarMichael BorgerIsaac GeorgePublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
The management of bioprosthetic structural valve degeneration requires complex surgical or transcatheter re-intervention for which many high-risk patients are not considered candidates. Here, we describe a technique for a direct surgical access valve-in-valve implantation in patients with complex bioprosthetic valvulopathy for whom standard surgical valve replacement and percutaneous interventions were high-risk and contraindicated, respectively.
Keyphrases
- aortic valve
- mitral valve
- aortic stenosis
- transcatheter aortic valve replacement
- aortic valve replacement
- ejection fraction
- transcatheter aortic valve implantation
- end stage renal disease
- randomized controlled trial
- left ventricular
- newly diagnosed
- chronic kidney disease
- heart failure
- physical activity
- coronary artery disease
- minimally invasive
- prognostic factors
- peritoneal dialysis