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Redo aortic valve replacement with a non-conventional intraoperative decision to avoid left main stem obstruction.
  • +2
  • Thomas Theologou,
  • Depaksi Tare,
  • Sara Clivio,
  • Demertzis S,
  • Enrico Ferrari
Thomas Theologou
Universita della Svizzera italiana Facolta di scienze biomediche

Corresponding Author:[email protected]

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Depaksi Tare
Universita della Svizzera italiana Facolta di scienze biomediche
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Sara Clivio
Cardiocentro Ticino
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Demertzis S
Universita della Svizzera italiana Facolta di scienze biomediche
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Enrico Ferrari
Universita della Svizzera italiana Facolta di scienze biomediche
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Abstract

Redo aortic valve surgery for failure of a previously implanted valve is always challenging. In case of small-sized implanted valves, the use of a balloon-expanding Sapien-3 valve can enhance the final effective orifice area, avoid complex annulus enlargement techniques, and can reduce operative time and morbidities. We describe a case where after explanting a failed 19mm St. Jude mechanical aortic valve and further deployment of a 23mm Sapien-3 valve, the left coronary ostia was obstructed by the skirt of the transcatheter prosthesis. After careful removal of a little part of the skirt, we were able to restore the coronary flow and the patient had a favorable outcome.
05 Jan 2022Submitted to Journal of Cardiac Surgery
06 Jan 2022Submission Checks Completed
06 Jan 2022Assigned to Editor
10 Jan 2022Reviewer(s) Assigned
23 Jan 2022Review(s) Completed, Editorial Evaluation Pending
24 Jan 2022Editorial Decision: Revise Minor
02 Mar 20221st Revision Received
04 Mar 2022Submission Checks Completed
04 Mar 2022Assigned to Editor
04 Mar 2022Reviewer(s) Assigned
13 Mar 2022Review(s) Completed, Editorial Evaluation Pending
14 Mar 2022Editorial Decision: Accept