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TMVR after TA-TAVR: a re-redo surgery-case report.
Front Cardiovasc Med
May 2024
Department of Cardiac Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Introduction: Transcatheter mitral valve replacement (TMVR) is a valuable treatment option in patients with severe mitral regurgitation. Prior transapical transcatheter aortic valve replacement (TA-TAVR) may complicate the procedure and is therefore considered a relative contraindication. In this case report, the authors describe the successful TMVR as a tertiary cardiac surgery and transapical redo procedure.
View Article and Find Full Text PDFRe-redo aortic root replacement utilizing continuous coronary perfusion via bypass grafting in a patient with impaired cardiac function.
JTCVS Tech
October 2023
Department of Cardiovascular Surgery, Osaka University, Graduate School of Medicine, Osaka, Japan.
We report about a 61-year-old man who, 6 years after initial uncomplicated mitral valve repair and 3 months after treatment of a pseudo-aneurysm of the ascending aorta with a Dacron patch, was admitted in our institution with an infection of the vascular graft, which was associated with sternal osteomyelitis and purulent cutaneous fistula. In a re-redo procedure, the proximal aortic arch and the ascending aorta were replaced with a cryopreserved aortic homograft. The infected part of the sternum was resected and the defect was covered by mobilizing the mediastinal tissue and with a bilateral muscle flap.
View Article and Find Full Text PDFStent valve implantation in conventional redo aortic valve surgery to prevent patient-prosthesis mismatch.
Interact Cardiovasc Thorac Surg
March 2017
Cardiac Surgery Unit, Cardiocentro Ticino Foundation, Lugano, Switzerland.
Objectives: The goal was to show the technical details, feasibility and clinical results of balloon-expandable stent valve implantation in the aortic position during conventional redo open-heart surgery in selected obese patients with a small aortic prosthesis and severe patient-prosthesis mismatch.
Methods: Two symptomatic overweight patients (body mass index of 31 and 38), each with a small aortic prosthesis (a 4-year-old, 21-mm Hancock II biological valve and a 29-year-old, 23-mm Duromedic mechanical valve), increased transvalvular gradients (59/31 and 74/44 mmHg) and a reduced indexed effective orifice area (0.50 and 0.
Valve-in-Valve Replacement Using a Sutureless Aortic Valve.
Am J Case Rep
October 2016
Department of Cardiac Surgery, Heart Centre Leipzig, University of Leipzig, Leipzig, Germany.
BACKGROUND We present a unique case of a 61-year-old female patient with homograft deterioration after redo surgery for prosthetic valve endocarditis with root abscess. CASE REPORT The first operation was performed for type A dissection with root, arch, and elephant trunk replacement of the thoracic aorta. The present re-redo surgery was performed as valve-in-valve with a sutureless aortic bioprosthesis.
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