Placement of a rapid deployment aortic valve in a patient with severely calcified aortic root homograft.
Lindsay E VolkJustin ElkhechenAnna OldsLeonard Y LeePublished in: Journal of cardiac surgery (2020)
Significant aortic calcification is a known sequelae of homograft aortic root replacement and creates a treatment challenge if these patients require cardiac reintervention. The standard surgical option for patients requiring an aortic valve replacement in the setting of a calcified aortic homograft has been a Bentall procedure, which is high-risk with extended cross-clamp, cardiopulmonary bypass and operative times. We present a patient with a severely calcified aortic homograft who underwent successful valve replacement using a rapid deployment aortic valve leaving the aortic root and arch intact and avoiding the more extensive redo aortic root replacement. Similar cases in the literature are rare.
Keyphrases
- aortic valve
- aortic valve replacement
- aortic stenosis
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- end stage renal disease
- ejection fraction
- chronic kidney disease
- newly diagnosed
- prognostic factors
- left ventricular
- systematic review
- coronary artery disease
- case report
- pulmonary artery
- peritoneal dialysis
- coronary artery
- minimally invasive