TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports

Abstract Background Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit. Case presentation We present a case of a patient who underwent open surgery on cardiopulmonary bypass as...

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Main Authors: Marco Gennari, Ilaria Giambuzzi, Gianluca Polvani, Marco Agrifoglio
Format: Article
Language:English
Published: BMC 2019-11-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13019-019-1036-2
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author Marco Gennari
Ilaria Giambuzzi
Gianluca Polvani
Marco Agrifoglio
author_facet Marco Gennari
Ilaria Giambuzzi
Gianluca Polvani
Marco Agrifoglio
author_sort Marco Gennari
collection DOAJ
description Abstract Background Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit. Case presentation We present a case of a patient who underwent open surgery on cardiopulmonary bypass assistance to implant a standard transcatheter aortic bioprosthesis through aortotomy in an off-label procedure and we discuss its safety and feasibility. Conclusions The combination of open cardiac surgery and open trans-aortic implant of a transcatheter prosthesis may reduce the surgical risk shrinking the technical difficulties that the implantation of a standard surgical prosthesis would have given.
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spelling doaj.art-6161607841974f039864892853cea7d42022-12-21T20:06:06ZengBMCJournal of Cardiothoracic Surgery1749-80902019-11-011411310.1186/s13019-019-1036-2TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reportsMarco Gennari0Ilaria Giambuzzi1Gianluca Polvani2Marco Agrifoglio3Centro Cardiologico Monzino IRCCSCentro Cardiologico Monzino IRCCSCentro Cardiologico Monzino IRCCSCentro Cardiologico Monzino IRCCSAbstract Background Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit. Case presentation We present a case of a patient who underwent open surgery on cardiopulmonary bypass assistance to implant a standard transcatheter aortic bioprosthesis through aortotomy in an off-label procedure and we discuss its safety and feasibility. Conclusions The combination of open cardiac surgery and open trans-aortic implant of a transcatheter prosthesis may reduce the surgical risk shrinking the technical difficulties that the implantation of a standard surgical prosthesis would have given.http://link.springer.com/article/10.1186/s13019-019-1036-2HomograftTranscatheter aortic valve replacementRedo surgery
spellingShingle Marco Gennari
Ilaria Giambuzzi
Gianluca Polvani
Marco Agrifoglio
TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports
Journal of Cardiothoracic Surgery
Homograft
Transcatheter aortic valve replacement
Redo surgery
title TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports
title_full TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports
title_fullStr TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports
title_full_unstemmed TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports
title_short TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports
title_sort tavi in homograft tih open transcatheter aortic valve replacement in calcified aortic homograft case reports
topic Homograft
Transcatheter aortic valve replacement
Redo surgery
url http://link.springer.com/article/10.1186/s13019-019-1036-2
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AT ilariagiambuzzi taviinhomografttihopentranscatheteraorticvalvereplacementincalcifiedaortichomograftcasereports
AT gianlucapolvani taviinhomografttihopentranscatheteraorticvalvereplacementincalcifiedaortichomograftcasereports
AT marcoagrifoglio taviinhomografttihopentranscatheteraorticvalvereplacementincalcifiedaortichomograftcasereports