Key result
Emergency transcatheter valve-in-valve deployment achieves good recovery and normal aortic function during complex third-time sternotomy.
Case Report (n=1)
Highlights the utility of hybrid strategies combining cardiac surgery and interventional cardiology techniques as a bailout option in complex aortic valve cases.
Suggests hybrid bailouts in complex reoperative AVR; hypothesis-generating and requires prospective validation.
This report presents the case of a 66-year-old man with acute torrential aortic insufficiency after a Ross procedure 20 years earlier, a biologic aortic valve replacement 16 years earlier, and a transcatheter valve-in-valve 4 years earlier. He underwent third-time sternotomy, revealing that the pulmonary autograft was heavily calcified and frozen to the homograft. The previous transcatheter valve-in-valve was explanted. The previous bioprosthetic valve was adhered in place, necessitating emergency deployment of a replacement transcatheter valve-in-valve. The patient recovered well, with normal aortic valve function. Techniques from cardiac surgery and interventional cardiology are rapidly converging in invasiveness, thus making hybrid strategies increasingly important in complex cases.
No takes yet. Share an insight, caveat, or question.
Zamirpour et al. (2024) conducted a case report in Acute torrential aortic insufficiency (n=1). Emergency deployment of a replacement transcatheter valve-in-valve was evaluated on Patient recovery and aortic valve function. Emergency deployment of a replacement transcatheter valve-in-valve resulted in good recovery and normal aortic valve function during a complex third-time sternotomy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: