Key result
Aortic valve bypass yields favorable results in a complex case of severe aortic stenosis.
Why the study?
A significant number of patients with symptomatic aortic stenosis are not referred for traditional interventions due to complex anatomical or clinical conditions.
Case Report (n=1)
Aortic valve bypass may serve as a feasible complementary option to SAVR and TAVI for high-risk patients with severe symptomatic aortic stenosis and complex anatomical constraints.
There are a significant number of symptomatic aortic stenosis (AS) patients not referred to the traditional methods for some complexity 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 previous sternotomy for mechanical mitral valve replacement (MVR) and coronary artery bypass grafting (CABG) who underwent aortic valve bypass (AVB) with favorable results. AVB has been proposed as a complementary to surgery operation of aortic valve replacement (SAVR) and transcatheter aortic valve implantation (TAVI) in high-risk AS patients.
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Yu et al. (2020) conducted a case report in Severe 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 61-year-old female with severe symptomatic aortic stenosis and complex anatomical and clinical conditions.
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