Redo aortic valve replacement with a non-conventional intraoperative decision to avoid left main stem obstruction [post]

Thomas Theologou, Depaksi Tare, Sara Clivio, Demertzis S, Enrico Ferrari
2022 unpublished
Redo aortic valve surgery for failure of a previously implanted valve is always challenging. In case of small-sized implanted valves, the use of a balloon-expanding Sapien-3 valve can enhance the final effective orifice area, avoid complex annulus enlargement techniques, and can reduce operative time and morbidities. We describe a case where after explanting a failed 19mm St. Jude mechanical aortic valve and further deployment of a 23mm Sapien-3 valve, the left coronary ostia was obstructed by
more » ... he skirt of the transcatheter prosthesis. After careful removal of a little part of the skirt, we were able to restore the coronary flow and the patient had a favorable outcome.
doi:10.22541/au.164181234.49649159/v1 fatcat:ry4sgkasenbx3csv4ldzdso5vq