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- Title
Prominent Septal Hypertrophy: A Contra-Indication for Transapical Aortic Valve Implantation?
- Authors
Payne, Darrin M.; Rodes-Cabau, Josep; Doyle, Daniel; De Larochellière, Robert; Villeneuve, Jacques; Dumont, Eric
- Abstract
A bstract We report a case of transapical aortic valve implantation in a patient with severe left ventricular hypertrophy. The valve was deployed but failed to attain stable seating because of a hypertrophied septal ridge encroaching on the landing zone. Moderate perivalvar insufficiency was also noted. A second valve was deployed in an attempt to achieve stable seating and correct the perivalvar leak. This was unsuccessful and the two-valve complex embolized into the ascending aorta. The valves were moved and seated in the proximal descending thoracic aorta. The technical issues of transapical aortic valve implantation in patients with severe left ventricular hypertrophy are reviewed. (J Card Surg 2012;27:309-311)
- Subjects
CASE studies; CARDIAC hypertrophy; AORTIC stenosis; LEFT heart ventricle diseases; HEART valve transplantation
- Publication
Journal of Cardiac Surgery, 2012, Vol 27, Issue 3, p309
- ISSN
0886-0440
- Publication type
Article
- DOI
10.1111/j.1540-8191.2011.01370.x