Key result
Aortic valve bypass was successfully performed with favorable results in a high-risk 61-year-old female with severe symptomatic aortic stenosis and complex anatomical challenges.
Why the study?
A significant number of symptomatic aortic stenosis patients are not referred to traditional methods due to complex conditions.
Case Report (n=1)
Aortic valve bypass may serve as a complementary procedure to surgical or transcatheter aortic valve replacement in high-risk patients with severe symptomatic aortic stenosis and complex anatomical challenges.
May support individualized valve strategies in high-risk AS with prior sternotomy; hypothesis-generating and should not yet change practice.
There are a significant number of symptomatic aortic stenosis (AS) patients not referred to the traditional methods for some complex conditions. We described a case of a 61-year-old female with severe symptomatic AS, calcific small aortic annulus (16.6 mm), narrow porcelain ascending aorta (aortic root: 14.6 mm, internal diameter: 14.0 mm), chronic renal insufficiency, and a history of the previous sternotomy for mechanical mitral valve replacement and coronary artery bypass grafting who underwent aortic valve bypass (AVB) with favorable results. AVB has been proposed as a complementary to surgery operation of aortic valve replacement and transcatheter aortic valve implantation in high-risk AS patients.
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Ye et al. (2021) conducted a case report in symptomatic aortic stenosis (n=1). Aortic valve bypass (AVB) was evaluated on Clinical outcome. Aortic valve bypass was successfully performed with favorable results in a high-risk 61-year-old female with severe symptomatic aortic stenosis and complex anatomical challenges.
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