Transcatheter aortic valve implantation for aortic valve stenosis 17 years after aortic root remodeling via the Yacoub method

Naoki Itaya; Ken-Ichiro Sasaki; Tohru Takaseya; Masahiro Sasaki; Kazunori Yamaji; Akihiro Honda; Yoshihiro Fukumoto; Eiki Tayama

doi:10.1016/j.jccase.2023.02.018

Transcatheter aortic valve implantation for aortic valve stenosis 17 years after aortic root remodeling via the Yacoub method

J Cardiol Cases. 2023 Mar 7;27(6):287-289. doi: 10.1016/j.jccase.2023.02.018. eCollection 2023 Jun.

Authors

Naoki Itaya¹, Ken-Ichiro Sasaki¹, Tohru Takaseya², Masahiro Sasaki¹, Kazunori Yamaji¹, Akihiro Honda¹, Yoshihiro Fukumoto¹, Eiki Tayama²

Affiliations

¹ Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, Kurume, Japan.
² Division of Cardiovascular Surgery, Department of Surgery, Kurume University School of Medicine, Kurume, Japan.

Abstract

Yacoub operation, aimed at valve-sparing aortic root replacement, is performed to treat aortic root aneurysm with aortic regurgitation. Here we first report a successful transcatheter aortic valve implantation with a balloon-expandable prosthetic valve in an elderly patient having severe aortic valve stenosis and a small sinus of Valsalva 17 years after the Yacoub operation.

Learning objectives: In transcatheter aortic valve implantation (TAVI) for aortic valve stenosis with a small sinus of Valsalva post-Yacoub operation, the use of a balloon-expandable prosthetic valve may be desirable for the TAVI; a detailed analysis of the anatomy of the valve-sparing aortic root with computed tomography is essential for the valve selection.

Keywords: Balloon-expandable prosthetic valve; Catheter treatment; Small sinus of valsalva.

Publication types

Case Reports