Key result
Open sutureless valve-in-valve implantation enables successful salvage for failed stented prosthesis.
Why the study?
Aortic bioprosthesis deterioration causing severe aortic regurgitation may require complex surgical intervention when medical management fails.
Case Report (n=1)
No
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BACKGROUND: A 78-year-old male was admitted to our institute with increasing shortness of breath and decreased exercise tolerance. His increasing symptoms were not relieved with medical management. He had a complex medical history that included aortic valve replacement (AVR). Echocardiography showed a deteriorating aortic bioprosthesis with severe aortic regurgitation. METHOD: Intraoperative extraction of this prosthesis proved technically challenging and a valve in valve successfully was implanted as a salvage procedure. RESULTS: The procedure was successful, and the patient made a full recovery. CONCLUSION: Open valve in valve implantation, despite technical difficulties, may be utilized as a salvage procedure.
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Alizzi et al. (2023) conducted a case report in Deteriorating aortic bioprosthesis with severe aortic regurgitation (n=1). Open valve-in-valve implantation (sutureless valve into a stented prosthesis) was evaluated on Procedural success and recovery. Open valve-in-valve implantation of a sutureless valve into a stented prosthesis was successfully utilized as a salvage procedure, leading to full recovery in a 78-year-old male.
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