Implantation of a Sutureless Valve Into a Stented Prosthesis: An Open Salvage Procedure

Authors

  • Ali Alizzi, MD, PhD Cardiothoracic Surgical Unit, Ashford Hospital, Adelaide, Australia
  • James Edwards, FRACS Cardiothoracic Surgical Unit, Ashford Hospital, Adelaide, Australia
  • Mark Markou, FANZCA Cardiothoracic Surgical Unit, Ashford Hospital, Adelaide, Australia
  • Andrew Sanderson, Ccp (ANZ) Cardiothoracic Surgical Unit, Ashford Hospital, Adelaide, Australia
  • Jane Ottens, Ccp (ANZ) Cardiothoracic Surgical Unit, Ashford Hospital, Adelaide, Australia
  • Darren Polok, MBS Cardiothoracic Surgical Unit, Ashford Hospital, Adelaide, Australia

DOI:

https://doi.org/10.1532/hsf.5425

Abstract

Background: A 78-year-old male was admitted to our institute with increasing shortness of breath and decreased exercise tolerance. His increasing symptoms were not relieved with medical management. He had a complex medical history that included aortic valve replacement (AVR). Echocardiography showed a deteriorating aortic bioprosthesis with severe aortic regurgitation.

Method: Intraoperative extraction of this prosthesis proved technically challenging and a valve in valve successfully was implanted as a salvage procedure.

Results: The procedure was successful, and the patient made a full recovery.

Conclusion: Open valve in valve implantation, despite technical difficulties, may be utilized as a salvage procedure.

References

Desai ND, McCarthy F, Moser W, et al. 2011. Durability of porcine bioroots in younger patients with aortic root pathology: A propensity-matched comparison with composite mechanical roots. Ann Thorac Surg. 92:2054–61.

Gariboldi, et al. 2013. Reoperation for failure of freestyle bioprosthesis using an Edwards intuity valve. Ann Thorac Surg. 96: e47– 8.

Kapetanakis EI, McCarthy P, Monaghan M, Wendler O. 2011. Trans-apical aortic valve implantation in a patient with stentless valve degeneration. Eur J Cardiothorac Surg. 39: 1051–3.

Kocher AA, Laufer G, Haverich A, et al. 2013. One-year outcomes of the surgical treatment of aortic stenosis with a next generation surgical aortic valve (TRITON) trial: A prospective multicenter study of rapid-deployment aortic valve replacement with the EDWARDS INTUITY valve system. J Thorac Cardiovasc Surg. 145:110–5; discussion 115–6.

Mazzola A, Di Mauro M, Pellone F, et al. 2012. Freestyle aortic root bioprosthesis is a suitable alternative for aortic root replacement in elderly patients: A propensity score study. Ann Thorac Surg. 94:1185–90.

Mohammadi S, Tchana-Sato V, Kalavrouziotis D, et al. 2012. Longterm clinical and echocardiographic follow-up of the Freestyle stentless aortic bioprosthesis. Circulation. 126:S198– 204.

Piazza N, Bleiziffer S, Brockmann G, et al. 2011. Transcatheter aortic valve implantation for failing surgical aortic bioprosthetic valve: From concept to clinical application and evaluation (part 2). JACC Cardiovasc Interv. 47:733–42.

Published

2023-04-17

How to Cite

Alizzi, A., Edwards, J., Markou, M., Sanderson, A., Ottens, J., & Polok, D. (2023). Implantation of a Sutureless Valve Into a Stented Prosthesis: An Open Salvage Procedure. The Heart Surgery Forum, 26(2), E186-E188. https://doi.org/10.1532/hsf.5425

Issue

Section

Article