How to perform a late explantation of a Sapien XT transcatheter aortic prosthesis

J Card Surg. 2020 Sep;35(9):2338-2340. doi: 10.1111/jocs.14704. Epub 2020 Jul 27.

Abstract

Starting as a therapeutically option for high-risk surgical patients with degenerative aortic valve stenosis, the transcatheter aortic valve implantation method is probably going to become the method of choice for this pathology also in younger and low-risk patients. As bioprosthesis are prone to degeneration, requiring a redo procedure, whenever a valve in valve procedure is contraindicated, a surgical valve replacement will become necessary. We describe a simple surgical method for explantation of a Sapien XT prosthesis that was implanted 7 years previously in a calcified aortic valve.

Keywords: TAVR; aorta; great vessels; valve repair/replacement.

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / diagnostic imaging
  • Aortic Valve Stenosis* / surgery
  • Bioprosthesis* / adverse effects
  • Heart Valve Prosthesis Implantation*
  • Heart Valve Prosthesis* / adverse effects
  • Humans
  • Prosthesis Design
  • Transcatheter Aortic Valve Replacement* / adverse effects
  • Treatment Outcome