Surgical Explantation of a Transcatheter-Implanted Aortic Valve Prosthesis Is Feasible and Easy

Ann Thorac Surg. 2019 Sep;108(3):e173-e174. doi: 10.1016/j.athoracsur.2019.01.035. Epub 2019 Feb 19.

Abstract

This report describes a clinical case of a degenerated CoreValve (Medtronic, Minneapolis, MN) aortic prosthesis in a 59-year-old patient. Videos of a previously described surgical technique for late surgical explantation of a CoreValve are provided. This operation is feasible and easy to perform, partly because of the absence of adhesions at the coronary ostia. This report also comments on the controversy between mechanical and biologic prostheses in patients undergoing renal dialysis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis
  • Device Removal / methods*
  • Follow-Up Studies
  • Heart Valve Prosthesis
  • Humans
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / diagnosis
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Patient Safety
  • Prosthesis Design
  • Prosthesis Failure*
  • Pulmonary Edema / diagnosis
  • Pulmonary Edema / etiology
  • Renal Dialysis / methods
  • Reoperation / methods*
  • Transcatheter Aortic Valve Replacement / adverse effects*
  • Transcatheter Aortic Valve Replacement / methods
  • Treatment Outcome