1. Right Anterior Minithoracotomy for Endocarditis After Transcatheter Aortic Valve Replacement
- Author
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Sabreen Mkalaluh, Jerry Easo, Marcin Szczechowicz, Ahmed Mashhour, Alexander Weymann, Mikhail Khokhlunov, and Konstantin Zhigalov
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Transcatheter aortic ,business.industry ,medicine.medical_treatment ,Mortality rate ,Medizin ,030204 cardiovascular system & hematology ,medicine.disease ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,030228 respiratory system ,Valve replacement ,Aortic valve replacement ,medicine ,Endocarditis ,Thoracotomy ,Cardiology and Cardiovascular Medicine ,Complication ,business ,Right anterior - Abstract
Transcatheter aortic valve replacement (TAVR) has become an equivalent alternative to surgical aortic valve replacement also in patients at low surgical risk. Prosthetic valve endocarditis after TAVR (TAVR-PVE) is a dangerous complication with the highest mortality rate among endocarditis patients. Only a minority of patients receive surgical treatment of TAVR-PVE. We present a case of surgical treatment of TAVR-PVE in a 75-year-old patient. The success of the treatment is based on the reduction of the operative trauma and length of the procedure with the use of minimally invasive right-sided thoracotomy and the Perceval sutureless aortic valve prosthesis (LivaNova, London, United Kingdom).
- Published
- 2020