Transcatheter aortic valve repair for management of aortic insufficiency in patients supported with left ventricular assist devices.

Abstract

The development of new aortic insufficiency after a period of support with a left ventricular assist device can result in progressive heart failure symptoms. Transcatheter aortic valve repair can be an effective treatment in selected patients, but the lack of aortic valve calcification can result in unstable prostheses or paravalvular leak. We describe a technique of deploying a self-expanding CoreValve (Medtronic, Minneapolis, MN, USA) into the aortic annulus, followed by a balloon-expandable SAPIEN-3 (Edwards, Irvine, CA, USA).

• Authors: Jay D Pal, James M McCabe, Todd Dardas, Gabriel S Aldea, Nahush A Mokadam
• Journal: Journal of cardiac surgery (J Card Surg) Vol. 31 Issue 10 Pg. 654-657 (Oct 2016) ISSN: 1540-8191 [Electronic] United States
• PMID: 27487763 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2016 Wiley Periodicals, Inc.

Topics

• Aged
• Angiography
• Aortic Valve (diagnostic imaging, surgery)
• Aortic Valve Insufficiency (complications, diagnosis, surgery)
• Echocardiography
• Heart Failure (complications, surgery)
• Heart Valve Prosthesis
• Heart-Assist Devices
• Humans
• Male
• Middle Aged
• Transcatheter Aortic Valve Replacement (methods)