Resolution of heart block after surgical correction of failed transcatheter aortic valve implantation

Surgical aortic valve replacement is the gold standard therapy for severe aortic stenosis but transcatheter aortic valve implantation (TAVI) is increasingly employed in “high-risk” patients. Atrioventricular block and aortic regurgitation are frequent complications of nitinol-based stented valves. W...

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Bibliographic Details
Main Authors: Weymann, Alexander (Author) , Patil, Nikhil Prakash (Author) , Karck, Matthias (Author)
Format: Article (Journal)
Language:English
Published: 1 April 2015
In: The annals of thoracic surgery
Year: 2015, Volume: 99, Issue: 4, Pages: 1437-1439
ISSN:1552-6259
DOI:10.1016/j.athoracsur.2014.06.102
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.athoracsur.2014.06.102
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0003497514015057
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Author Notes:Alexander Weymann, MD, Nikhil Prakash Patil, MRCS, MCh, and Matthias Karck, MD, PhD
Description
Summary:Surgical aortic valve replacement is the gold standard therapy for severe aortic stenosis but transcatheter aortic valve implantation (TAVI) is increasingly employed in “high-risk” patients. Atrioventricular block and aortic regurgitation are frequent complications of nitinol-based stented valves. We report a case of successful, but complex reoperative surgery 13 days after failed TAVI with iatrogenic aortic and mitral regurgitation and new-onset heart block. Removal of a CoreValve prosthesis (Medtronic Inc, Minneapolis, MN) with standard aortic valve replacement resulted in restoration of sinus rhythm and valvular competencies.
Item Description:Gesehen am 01.07.2020
Physical Description:Online Resource
ISSN:1552-6259
DOI:10.1016/j.athoracsur.2014.06.102