Transapical Transcatheter Aortic Valve Implantation for Aortic Regurgitation in Takayasu Arteritis
Keywords:Takayasu arteritis, Aortic regurgitation, Transcatheter, Porcelain aorta
Transcatheter aortic valve implantation (TAVI) has become a popular treatment for surgical high-risk patients with severe aortic stenosis (AS). Recently, we have applied TAVI to the treatment of aortic regurgitation (AR). Compared with conventional surgical procedures, TAVI is less invasive and considered a useful option for these high-risk patients. In this study, we reported a patient who underwent transapical TAVI. The patient was a 52-year-old female with Takayasu arteritis (TA) for 25 years, as well as with severe aortic regurgitation, porcelain aortas, and heart failure. Transapical TAVI successfully was accomplished without neurological complications, and heart failure immediately improved postoperatively.
Greenbaum AB, O'Neill WW, Paone G, et al. 2014. Caval-aortic access to allow transcatheter aortic valve replacement in otherwise ineligible patients: initial human experience. J Am Coll Cardiol. 63:2795-2804.
Holmes DR, Jr., Brennan JM, Rumsfeld JS, et al. 2015. Clinical outcomes at 1 year following transcatheter aortic valve replacement. JAMA. 313:1019-1028.
Ishikawa K, Maetani S. 1994. Long-term outcome for 120 Japanese patients with Takayasu's disease. Clinical and statistical analyses of related prognostic factors. Circulation. 90:1855-1860.
Kahlert P, Knipp SC, Schlamann M, et al. 2010. Silent and apparent cerebral ischemia after percutaneous transfemoral aortic valve implantation: a diffusion-weighted magnetic resonance imaging study. Circulation. 121:870-878.
Lederman RJ, Greenbaum AB, Rogers T, Khan JM, Fusari M, Chen MY. 2017. Anatomic suitability for transcaval access based on computed tomography. JACC Cardiovasc Interv. 10:1-10.
Miyata T, Sato O, Koyama H, Shigematsu H, Tada Y. 2003. Long-term survival after surgical treatment of patients with Takayasu's arteritis. Circulation. 108:1474-1480.
Useini D, Haldenwang P, Schlömicher M, et al. 2020. Mid-term outcomes after transapical and transfemoral transcatheter aortic valve implantation for aortic stenosis and porcelain aorta with a systematic review of transfemoral versus transapical approach. The Thoracic and cardiovascular surgeon. 68:623-632.
Zhang Y, Fan P, Zhang H, et al. 2020. Surgical treatment in patients with aortic regurgitation due to Takayasu arteritis. Ann Thorac Surg. 110:165-171.