TAVI-in-homograft (TiH): Open transcatheter aortic valve replacement in calcified aortic homograft case reports

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Abstract

Background: Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit. Case presentation: We present a case of a patient who underwent open surgery on cardiopulmonary bypass assistance to implant a standard transcatheter aortic bioprosthesis through aortotomy in an off-label procedure and we discuss its safety and feasibility. Conclusions: The combination of open cardiac surgery and open trans-aortic implant of a transcatheter prosthesis may reduce the surgical risk shrinking the technical difficulties that the implantation of a standard surgical prosthesis would have given.

Original languageEnglish
Article number208
JournalJournal of Cardiothoracic Surgery
Volume14
Issue number1
DOIs
Publication statusPublished - Nov 27 2019

Keywords

  • Homograft
  • Redo surgery
  • Transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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