Direct Aortic Evolut R Implantation as Valve-In-Valve in a Patient Affected by Leriche Syndrome
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Abstract
Transcatheter aortic valve implantation (TAVI) has been designed to treat elderly patients with severe aortic stenosis considered high-risk surgical candidates.
Due to the large device size, even of current generation systems, the trans-femoral approach requires favorable ilio-femoral arterial anatomy; this approach is contraindicated in patients with excessive atherosclerosis, calcifications, or tortuosity of ilio-femoral arteries.
We report the case of a 75-year-old female affected by Leriche syndrome who successfully underwent direct aortic (DAo) transcatheter aortic valve implantation with a Medtronic CoreValve Evolut R (Medtronic Inc., Minneapolis, MN, USA) as valve-in-valve implantation to treat a degenerate aortic bioprosthesis.
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Adams DH, Popma JJ, Reardon MJ, Yakubov SJ, Coselli JS, et al. (2014) Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med 370: 1790-1798 .
Leon MB, Smith CR, Mack MJ, Makkar RR, Svensson LG, et al. (2016) Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med 374: 1609-1620.
Sinning JM, Werner N, Nickenig G, Grube E (2013) Medtronic CoreValve Evolut R with EnVeo R. EuroIntervention 9: S95-S96.
Sénage T, Le Tourneau T, Foucher Y, Pattier S, Cueff C, et al. (2014) Early structural valve deterioration of Mitroflow aortic bioprosthesis: mode, incidence, and impact on outcome in a large cohort of patients. Circulation 130: 2012-2020 .
Dohi M, Doi K, Yaku H (2015) Early stenosis of an aortic porcine bioprosthesis due to thrombosis: Case report and literature review. J Thorac Cardiovasc Surg 149: e83-e86 .
Cremer PC, Rodriguez LL, Griffin BP, Tan CD, Rodriguez ER, et al. (2015) Early Bioprosthetic Valve Failure: Mechanistic Insights via Correlation between Echocardiographic and Operative Findings. J Am Soc Echocardiogr 28: 1131-1148 .
Hammermeister KE, Sethi GK, Henderson WG, Oprian C, Kim T, et al. (1993) A comparison of outcomes in men 11 years after heart- valve replacement with a mechanical valve or bioprosthesis. Veterans Affairs Cooperative Study on Valvular Heart Disease. N Engl J Med 328: 1289-1296 .
Dvir D, Webb JG, Bleiziffer S, Pasic M, Waksman R, et al. (2014) Transcatheter aortic valve implantation in failed bioprosthetic surgical valves. JAMA 312: 162-170 .
Bruschi G, De Marco F, Botta L, Barosi A, Colombo P, Eet al. (2015) Right anterior mini-thoracotomy direct aortic self-expanding trans-catheter aortic valve implantation: A single center experience. Int J Card 181: 437–442 .
Hayashida K, Romano M, Lefèvre T, Chevalier B, Farge A, et al (2013) The transaortic approach for transcatheter aortic valve implantation: a valid alternative to the transapical access in patients with no peripheral vascular option. A single center experience. Eur J Cardiothorac Surg 44: 692-700 .
Bruschi G, De Marco F, Botta L, Oreglia J, Colombo P, et al. (2012) Direct transaortic CoreValve implantation through right mini-thoracotomy in patients with patent coronary grafts. Ann Thorac Surg 93: 1297–1299 .