Thoracoscopic confirmation of correct seating of minimaly-invasive rapid-deployment aortic bioprosthesis
نویسندگان
چکیده
There is a growing interest in minimally invasive access for aortic valve surgery. The upper hemi-sternotomy provides good aortic valve exposure, with numerous possible advantages. Nevertheless, some surgeons remain skeptical about limited access surgery because it is technically more demanding. Sutureless and rapid-deployment bioprostheses could alleviate these concerns by improving ease of implantation. We herein describe the use of video-assisted visualization to verify the position of the balloon-expandable frame during rapid aortic valve deployment. Sutureless and rapid-deployment bioprostheses improve implantation and make it easy to increase minimally invasive access for aortic valve surgery.
منابع مشابه
Aortic valve replacement with a rapid deployment Edwards Intuity bioprosthesis using a completely video-guided approach.
We describe the case of a 54-year-old female with severe aortic stenosis and a background of severe comorbidities including prior radiotherapy for Hodgkin’s lymphoma, splenectomy, severe chronic obstructive pulmonary disease, scleroderma with laryngeal and esophageal involvement, and systemic and pulmonary hypertension. The patient underwent totally video-guided aortic valve replacement through...
متن کاملNoninvasive pacing during transfemoral implantation of the Edwards SAPIEN valve for tricuspid valve bioprosthesis stenosis
Introduction Transcatheter implantation of balloon expandable valves in high-risk patients with degenerated tricuspid bioprostheses has been reported since 2010 [1, 2]. Although there have been cases where the SAPIEN valve was implanted in the tricuspid position without rapid pacing [3, 4], invasive rapid ventricular pacing is usually applied during valve deployment. We present a case report do...
متن کاملEdwards Intuity Aortic Bioprosthesis in Patient with Bicuspid Aortic Valve
Bicuspid aortic valve (BAV) is generally considered to be a contraindication to sutureless aortic valve replacement (AVR). Implantation of the Edwards Intuity aortic bioprosthesis is an innovative approach associated with superior hemodynamic performance, significantly reduced myocardial ischaemia and cardiopulmonary bypass times and proves to be suitable for type 1 and 2 of bicuspid aortic val...
متن کاملTranscatheter aortic "valve-in-valve" for degenerated bioprostheses: Choosing the right TAVI valve.
Bioprosthetic aortic valve replacement is the treatment of choice for patients over 65 years of age suffering from aortic valve disease, and for younger patients with contraindications to long-lasting anticoagulation. Despite several technical improvements to reduce the risk of structural valve degeneration (SVD), the risk of SVD still exists, in particular for hemodialysis patients and patient...
متن کاملMinimally invasive aortic valve replacement using the Perceval S sutureless valve.
The term “sutureless aortic valve” (su-AV) describes a type of valve which facilitates anchoring of bioprostheses in the aortic position without use of conventional sutures. Although all valve prostheses used for transcatheter aortic valve implantation or replacement (TAVI or TAVR) follow the same principle, they are implanted by wire-based techniques as opposed to su-AVs, which are implanted b...
متن کامل