Recently, percutaneous aortic valve replacement has emerged as a therapeutic option for patients with severe symptomatic aortic stenosis and a high surgical risk. We report our initial experience in four patients with percutaneous implantation of a CoreValve aortic prosthesis to treat aortic bioprosthesis dysfunction involving aortic stenosis or regurgitation. In-hospital and medium-term outcomes were analyzed. The procedure was performed under local anesthesia and guided by angiography. The prosthesis was implanted successfully in all patients, although a second prosthesis was required in one case because the first was positioned too high. There were no major complications. After a mean follow-up of 7 months (SD, 4.7), all patients remained asymptomatic.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.recesp.2010.03.001DOI Listing

Publication Analysis

Top Keywords

aortic bioprosthesis
8
aortic stenosis
8
aortic
6
percutaneous treatment
4
treatment dysfunctional
4
dysfunctional aortic
4
bioprosthesis corevalve®
4
prosthesis
4
corevalve® prosthesis
4
prosthesis percutaneous
4

Similar Publications

Background: There are several high-risk treatment options for valve failure of a biological full root replacement. When tailoring the best treatment option for the patient, implantation of a rapid deployment valve (RDV) should be considered.

Case Presentation: Six patients presented with aortic regurgitation in a full root Freestyle bioprosthesis.

View Article and Find Full Text PDF

Background: The self-expanding, supra-annular Evolut valve is an established platform for Transcatheter Aortic Valve Implantation (TAVI). Evolut PRO introduced an outer sealing wrap to mitigate paravalvular leakage. We evaluated the 3-year clinical outcomes and valve performance of the Evolut PRO in standard clinical practice for severe aortic stenosis (AS) patients at intermediate or higher risk for surgery.

View Article and Find Full Text PDF
Article Synopsis
  • The study examined differences in echocardiographic assessments of native and bioprosthetic aortic valves between core laboratories and clinical centers, finding clinically relevant discrepancies.
  • Data was collected from the PERIGON trial, which involved patients undergoing surgical aortic valve replacement, and involved comparing echocardiographic results from centers to independent analysis by a core lab.
  • Results showed that while some continuous measurements had high agreement (around 0.90), there were notable variances, particularly in left ventricular outflow tract area and stroke volume, indicating the need for standardized evaluation practices.
View Article and Find Full Text PDF

Surgical Aortic Valve Replacement Using a Supra-Annular Self-Expanding Bioprosthesis.

JACC Case Rep

November 2024

Cardiovascular Services, Boulder Community Health, Boulder, Colorado, USA.

Article Synopsis
  • TAVR with a self-expanding supra-annular valve has better long-term outcomes and durability compared to traditional surgical aortic valve replacement (SAVR).
  • In a study, a 29-mm Evolut valve was successfully implanted in 4 patients undergoing SAVR, who had various aortic valve conditions.
  • Results showed no valve migration, no need for pacemakers, and low pressure gradients post-surgery, indicating the procedure's effectiveness for those not suitable for TAVR.
View Article and Find Full Text PDF

Objective: There is little evidence regarding the most beneficial choice between a mechanical and a bioprosthetic valve in the aortic position in dialysis patients. This meta-analysis compares the survival and freedom from reintervention rates between mechanical and bioprosthetic valves in patients on dialysis undergoing aortic valve replacement surgery.

Methods: Two databases were searched, and the systematic review was performed in accordance with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!