Transcatheter aortic valve-in-valve-in-valve implantation with three-dimensional printing guidance: A case report.
J Card Surg
; 35(7): 1676-1680, 2020 Jul.
Article
en En
| MEDLINE
| ID: mdl-32369868
ABSTRACT
BACKGROUND:
Valve-in-valve implantation (ViV) has become a valid option for the treatment of bioprosthetic valve failure. We describe the first in-man transfemoral transcatheter aortic valve replacement (TAVR) or "turducken" in a patient with previous TAVR within surgical aortic valve replacement with preprocedural guidance utilizing three-dimensional (3D) printing and intraprocedural guidance with fusion imaging. CASESUMMARY:
A 65-year-old male with a previous valve-in-valve with a transcatheter Melody valve presented with symptomatic severe valvular and paravalvular aortic incompetence. Using 3D printing for preprocedural guidance and computed tomography angiography-fluoroscopy fusion imaging for intraprocedural guidance we successfully placed a 29 mm self-expanding valve with minimal residual gradients. The patient continued to be asymptomatic at 1- and 5-year follow-up.DISCUSSION:
We describe the first in man aortic valve-in-valve-in-valve using preprocedural guidance with 3D printing and intraprocedural guidance with fusion imaging. The valve has continued to demonstrate good function up to 5 years postprocedure suggesting that transcatheter aortic valve-in-valve-in-valve may be feasible with the proper pre- and intraprocedural guidance.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Insuficiencia de la Válvula Aórtica
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Bioprótesis
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Falla de Prótesis
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Prótesis Valvulares Cardíacas
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Cirugía Asistida por Computador
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Reemplazo de la Válvula Aórtica Transcatéter
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Impresión Tridimensional
Tipo de estudio:
Guideline
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Observational_studies
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Prognostic_studies
Límite:
Aged
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Humans
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Male
Idioma:
En
Año:
2020
Tipo del documento:
Article