Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus
Transcatheter aortic valve replacement (TAVR) is a treatment of choice in patients with symptomatic severe aortic valve stenosis (AS) and intermediate-to-high surgical risk. The presence of a small aortic annulus (SAA) has been associated with a higher incidence of prosthesis–patient mismatch (PPM)...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1195486/full |
| _version_ | 1797681597215932416 |
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| author | Massimo Medda Francesco Casilli Marta Bande Maurizio Tespili Francesco Donatelli |
| author_facet | Massimo Medda Francesco Casilli Marta Bande Maurizio Tespili Francesco Donatelli |
| author_sort | Massimo Medda |
| collection | DOAJ |
| description | Transcatheter aortic valve replacement (TAVR) is a treatment of choice in patients with symptomatic severe aortic valve stenosis (AS) and intermediate-to-high surgical risk. The presence of a small aortic annulus (SAA) has been associated with a higher incidence of prosthesis–patient mismatch (PPM) when surgical aortic valve replacement (sAVR) is performed. TAVR might be a treatment option offering better hemodynamics with a lower incidence of PPM. When a severe AS with a SAA is treated, TAVR-related risk as the coronary obstruction and the annulus rupture, must be also prevented. We present a case of a TAVR in a very small aortic annulus; to our knowledge, this is the smallest native aortic annulus treated percutaneously in a tricuspid stenotic aortic valve with a Self-Expanding Transcatheter Heart Valve (THV) Acurate Neo 2. |
| first_indexed | 2024-03-11T23:48:11Z |
| format | Article |
| id | doaj.art-a3ce428a89244f8797f038241a313b80 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-11T23:48:11Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-a3ce428a89244f8797f038241a313b802023-09-19T08:56:16ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-09-011010.3389/fcvm.2023.11954861195486Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulusMassimo Medda0Francesco Casilli1Marta Bande2Maurizio Tespili3Francesco Donatelli4Clinical and Interventional Cardiology Unit, Cardio-Thoracic Center, IRCCS Ospedale Galeazzi-Sant’Ambrogio, Gruppo San Donato, Milan, ItalyClinical and Interventional Cardiology Unit, Cardio-Thoracic Center, IRCCS Ospedale Galeazzi-Sant’Ambrogio, Gruppo San Donato, Milan, ItalyClinical and Interventional Cardiology Unit, Cardio-Thoracic Center, Istituto Clinico Sant’Ambrogio, Gruppo San Donato, Milan, ItalyClinical and Interventional Cardiology Unit, Cardio-Thoracic Center, IRCCS Ospedale Galeazzi-Sant’Ambrogio, Gruppo San Donato, Milan, ItalyDepartment of Cardiothoracic Center, Istituto Clinico Sant’Ambrogio, University of Milan, Milan, ItalyTranscatheter aortic valve replacement (TAVR) is a treatment of choice in patients with symptomatic severe aortic valve stenosis (AS) and intermediate-to-high surgical risk. The presence of a small aortic annulus (SAA) has been associated with a higher incidence of prosthesis–patient mismatch (PPM) when surgical aortic valve replacement (sAVR) is performed. TAVR might be a treatment option offering better hemodynamics with a lower incidence of PPM. When a severe AS with a SAA is treated, TAVR-related risk as the coronary obstruction and the annulus rupture, must be also prevented. We present a case of a TAVR in a very small aortic annulus; to our knowledge, this is the smallest native aortic annulus treated percutaneously in a tricuspid stenotic aortic valve with a Self-Expanding Transcatheter Heart Valve (THV) Acurate Neo 2.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1195486/fullaortic valve stenosissmall aortic annulustranscatheter aortic valve replacement (TAVR)prosthesis–patient mismatch (PPM)cardio-CT |
| spellingShingle | Massimo Medda Francesco Casilli Marta Bande Maurizio Tespili Francesco Donatelli Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus Frontiers in Cardiovascular Medicine aortic valve stenosis small aortic annulus transcatheter aortic valve replacement (TAVR) prosthesis–patient mismatch (PPM) cardio-CT |
| title | Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus |
| title_full | Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus |
| title_fullStr | Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus |
| title_full_unstemmed | Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus |
| title_short | Case report: Self-expanding transcatheter valve implantation (Acurate Neo 2) in a very small native aortic annulus |
| title_sort | case report self expanding transcatheter valve implantation acurate neo 2 in a very small native aortic annulus |
| topic | aortic valve stenosis small aortic annulus transcatheter aortic valve replacement (TAVR) prosthesis–patient mismatch (PPM) cardio-CT |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1195486/full |
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