Evolut transcatheter aortic valve replacement explant and aortic root repair with an annular patch in the setting of endocarditis.

Badiu, Catalin Constantin; Blindaru, Andreea; Danet, Andrei; Cristu, Maximilian; Anghel, Florin

Badiu, Catalin Constantin; Blindaru, Andreea; Danet, Andrei; Cristu, Maximilian; Anghel, Florin.

Afiliación

Badiu CC; Department of Cardiovascular Surgery, Emergency University Hospital of Bucharest, Bucharest, Romania Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Blindaru A; Department of Cardiovascular Surgery, Emergency University Hospital of Bucharest, Bucharest, Romania.
Danet A; Department of Cardiovascular Surgery, Emergency University Hospital of Bucharest, Bucharest, Romania Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Cristu M; Department of Cardiovascular Surgery, Emergency University Hospital of Bucharest, Bucharest, Romania.
Anghel F; Department of Cardiovascular Surgery, Emergency University Hospital of Bucharest, Bucharest, Romania.

Multimed Man Cardiothorac Surg ; 20242024 Aug 29.

Article en En | MEDLINE | ID: mdl-39206793

ABSTRACT

ABSTRACT

As a consequence of the growing number of implanted transcatheter aortic valve prostheses, the increasing incidence of early and late complications of biological valves requires in several cases surgical explantation of the transcatheter valve and subsequent aortic root or surgical aortic valve replacement. In this video tutorial, we show how to avoid aortic root damage in the surgical explantation of a transcatheter aortic valve bioprosthesis in a patient with a dysfunctional transcatheter aortic valve prosthesis affected by endocarditis 15 months after implantation. The infected prosthesis and all foreign materials, concomitant to the calcified native valve, were excised en bloc in preparation for the extensive debridement of infected tissue in the abscess cavity. The defect on the aortic annulus was reconstructed using a pericardial patch, followed by a surgical valve implant.

Asunto(s)

Válvula Aórtica; Bioprótesis; Prótesis Valvulares Cardíacas; Infecciones Relacionadas con Prótesis; Reemplazo de la Válvula Aórtica Transcatéter; Humanos; Reemplazo de la Válvula Aórtica Transcatéter/métodos; Reemplazo de la Válvula Aórtica Transcatéter/efectos adversos; Válvula Aórtica/cirugía; Prótesis Valvulares Cardíacas/efectos adversos; Bioprótesis/efectos adversos; Infecciones Relacionadas con Prótesis/cirugía; Infecciones Relacionadas con Prótesis/etiología; Infecciones Relacionadas con Prótesis/diagnóstico; Endocarditis/cirugía; Endocarditis/etiología; Remoción de Dispositivos/métodos; Masculino; Estenosis de la Válvula Aórtica/cirugía; Reoperación; Anciano de 80 o más Años; Implantación de Prótesis de Válvulas Cardíacas/métodos; Implantación de Prótesis de Válvulas Cardíacas/efectos adversos; Endocarditis Bacteriana/cirugía; Endocarditis Bacteriana/etiología; Endocarditis Bacteriana/diagnóstico; Anciano

Palabras clave

Aortic stenosis; Aortic valve replacement; Infected TAVR explantation; TAVR failure; Transcatheter valve implantation

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Válvula Aórtica / Bioprótesis / Prótesis Valvulares Cardíacas / Infecciones Relacionadas con Prótesis / Reemplazo de la Válvula Aórtica Transcatéter Límite: Aged / Aged80 / Humans / Male Idioma: En Revista: Multimed Man Cardiothorac Surg Año: 2024 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Reino Unido

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