Transcatheter aortic valve implantation after branched thoracic endovascular aortic repair in zone 0.

Gen Thorac Cardiovasc Surg

Departments of Cardiovascular Surgery and Cardiology, Tokyo Women's Medical University, 8-1 Kawadacho, Shinjuku Ward, Tokyo, 162-8666, Japan.

Published: May 2021

AI Article Synopsis

  • An 83-year-old woman was admitted after emergency surgery for aortic dissection and developed severe aortic stenosis.
  • She underwent a transfemoral transcatheter aortic-valve implantation using a SAPIEN 3 valve, despite concerns about interference between the valve and existing stent grafts.
  • The procedure was successful, with the valve delivered without complications, and the patient's recovery was smooth post-surgery.

Article Abstract

An 83-year-old woman who underwent emergent hemi-arch replacement for acute aortic dissection (Stanford Type A) and staged branched thoracic endovascular aortic repair in zone 0 was admitted for severe aortic stenosis. We performed transfemoral transcatheter aortic-valve implantation with an SAPIEN 3 valve. The interference between the stent frames of the valve and the stent grafts in the aortic arch was concerning. However, using the SAPIEN 3 valve's flex system, the valve was successfully delivered through the complex structure in the aortic arch without any aggravation. The patient's postoperative course was uneventful.

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Source
http://dx.doi.org/10.1007/s11748-020-01544-7DOI Listing

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