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Tiara Valve Implantation in a Patient With Previously Implanted Mono-disk Mechanical Aortic Prosthesis
- Source :
- Seminars in Thoracic and Cardiovascular Surgery. 30:160-163
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Transcatheter mitral valve replacement with the Tiara valve can be performed in inoperable patients with severe functional regurgitation. Risk of left ventricular outflow tract obstruction can be prevented using preoperative 3D imaging and 3D-printed models. However, in the case of mono-disk mechanical prostheses previously implanted in aortic position (Bjork-Shiley), there is an additional risk of mechanical interference leading to reduced leaflet motion and aortic valve dysfunction. Hereafter, we describe the case of a patient with a 27-mm mono-disk mechanical aortic valve implanted in 1978, a EuroSCORE II of 18%, and a Society of Thoracic Surgeon score (mortality) of 16% who successfully underwent a transapical Tiara valve implantation.
- Subjects :
- Male
Models, Anatomic
Patient-Specific Modeling
Pulmonary and Respiratory Medicine
Aortic valve
Cardiac Catheterization
medicine.medical_specialty
medicine.medical_treatment
Echocardiography, Three-Dimensional
Ventricular outflow tract obstruction
610 Medicine & health
Regurgitation (circulation)
030204 cardiovascular system & hematology
Prosthesis Design
11171 Cardiocentro Ticino
2705 Cardiology and Cardiovascular Medicine
03 medical and health sciences
0302 clinical medicine
Euroscore ii
Aortic prosthesis
medicine
Humans
030212 general & internal medicine
Aged
Heart Valve Prosthesis Implantation
Thoracic surgeon
business.industry
Models, Cardiovascular
Mitral valve replacement
Mitral Valve Insufficiency
Mechanical Aortic Valve
General Medicine
2746 Surgery
Surgery
Treatment Outcome
medicine.anatomical_structure
2740 Pulmonary and Respiratory Medicine
Aortic Valve
Heart Valve Prosthesis
Printing, Three-Dimensional
cardiovascular system
Mitral Valve
medicine.symptom
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Echocardiography, Transesophageal
Subjects
Details
- ISSN :
- 10430679
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Seminars in Thoracic and Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....5c6003831233cf64bc990bbe4591a845