External Ring Annuloplasty: A Safe Landing Zone for Transcatheter Aortic Valve Replacement

Aortic stenosis in patients with previous valve-sparing root replacement represents a challenge, given the substantial morbidity and mortality rates in case of reoperation. Here, we present the case of a patient with late severe aortic stenosis 12 years after valve-sparing aortic root replacement. H...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 115; no. 6; pp. e125 - e126
Main Authors Moiroux-Sahraoui, Alexander, Farge, Arnaud, Zacek, Pavel, Lansac, Emmanuel
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.06.2023
Subjects
Aortic Valve - surgery
Aortic Valve Insufficiency - surgery
Aortic Valve Stenosis - surgery
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation
Humans
Male
Transcatheter Aortic Valve Replacement
Treatment Outcome
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Summary:Aortic stenosis in patients with previous valve-sparing root replacement represents a challenge, given the substantial morbidity and mortality rates in case of reoperation. Here, we present the case of a patient with late severe aortic stenosis 12 years after valve-sparing aortic root replacement. He was successfully treated by transapical aortic valve implantation. External ring annuloplasty, by reducing the native annuloaortic ectasia, allows transcatheter aortic valve replacement in case of stenotic deterioration of the native valve after valve-sparing aortic root replacement.
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2022.05.014