Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?

<p>Abstract</p> <p>We report a prospective comparison between transcatheter valve implantation (TAVI, n = 13) and surgical aortic valve replacement (AVR, n = 10) in patients with severe aortic valve stenosis and previous coronary bypass surgery (CABG). All patients had at least bil...

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Main Authors: Jegaden Olivier, Lapeze Joel, Farhart Fadi, de Gevigney Guy
Format: Article
Language:English
Published: BMC 2012-05-01
Series:Journal of Cardiothoracic Surgery
Online Access:http://www.cardiothoracicsurgery.org/content/7/1/47
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author Jegaden Olivier
Lapeze Joel
Farhart Fadi
de Gevigney Guy
author_facet Jegaden Olivier
Lapeze Joel
Farhart Fadi
de Gevigney Guy
author_sort Jegaden Olivier
collection DOAJ
description <p>Abstract</p> <p>We report a prospective comparison between transcatheter valve implantation (TAVI, n = 13) and surgical aortic valve replacement (AVR, n = 10) in patients with severe aortic valve stenosis and previous coronary bypass surgery (CABG). All patients had at least bilateral patent internal thoracic arteries bypass without indication of repeat revascularization. After a similar post-procedure outcome, despite one early death in TAVI group, the 1-year survival was 100% in surgical group and in transfemoral TAVI group, and 73% in transapical TAVI group. When previous CABG is the lone surgical risk factor, indications for a TAVI procedure have to be cautious, specially if transfemoral approach is not possible.</p>
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spelling doaj.art-3f31ece5f1724110a2f75bbab8b5b5682022-12-22T01:27:20ZengBMCJournal of Cardiothoracic Surgery1749-80902012-05-01714710.1186/1749-8090-7-47Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?Jegaden OlivierLapeze JoelFarhart Fadide Gevigney Guy<p>Abstract</p> <p>We report a prospective comparison between transcatheter valve implantation (TAVI, n = 13) and surgical aortic valve replacement (AVR, n = 10) in patients with severe aortic valve stenosis and previous coronary bypass surgery (CABG). All patients had at least bilateral patent internal thoracic arteries bypass without indication of repeat revascularization. After a similar post-procedure outcome, despite one early death in TAVI group, the 1-year survival was 100% in surgical group and in transfemoral TAVI group, and 73% in transapical TAVI group. When previous CABG is the lone surgical risk factor, indications for a TAVI procedure have to be cautious, specially if transfemoral approach is not possible.</p>http://www.cardiothoracicsurgery.org/content/7/1/47
spellingShingle Jegaden Olivier
Lapeze Joel
Farhart Fadi
de Gevigney Guy
Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?
Journal of Cardiothoracic Surgery
title Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?
title_full Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?
title_fullStr Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?
title_full_unstemmed Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?
title_short Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?
title_sort aortic valve stenosis after previous coronary bypass transcatheter valve implantation or aortic valve replacement
url http://www.cardiothoracicsurgery.org/content/7/1/47
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AT farhartfadi aorticvalvestenosisafterpreviouscoronarybypasstranscathetervalveimplantationoraorticvalvereplacement
AT degevigneyguy aorticvalvestenosisafterpreviouscoronarybypasstranscathetervalveimplantationoraorticvalvereplacement