Open-heart transcatheter aortic valve replacement in complex aortic valve reoperation: about a case series

Laury Leveille; Nicolas Jaussaud; Alexis Theron; Alberto Riberi; Frederic Collart

doi:10.1093/ehjcr/yty064

Open-heart transcatheter aortic valve replacement in complex aortic valve reoperation: about a case series

Eur Heart J Case Rep. 2018 May 24;2(2):yty064. doi: 10.1093/ehjcr/yty064. eCollection 2018 Jun.

Authors

Laury Leveille¹, Nicolas Jaussaud¹, Alexis Theron¹, Alberto Riberi¹, Frederic Collart¹

Affiliation

¹ Department of Cardiac Surgery, La Timone Hospital, Marseille, 264 rue Saint Pierre, Marseille, France.

Abstract

Introduction: Aortic homograft and stentless aortic root are helpful in acute infective endocarditis of the aortic valve as biological conduit when total root replacement is required. Reoperation for failure of aortic homograft and stentless aortic root remains challenging for the surgeon as the entire root can be heavily calcified.

Case presentation: Here, are reported, three cases of patients successfully treated with open-heart transcatheter aortic valve replacement (TAVR) whereas no other prosthesis was implantable due to a massively calcified homograft or stentless prosthesis.

Discussion: Open-heart TAVR avoided the risk of complete root replacement which is higher than redo aortic valve replacement (AVR). This rescue technique facilitated risky surgical procedure by combining the strengths of both TAVR and conventional AVR.

Keywords: Aortic root; Aortic valve replacement; Case series; Heart valve replacement; Percutaneous; Transapical.

Publication types

Case Reports