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- Title
Implantation of transcatheter aortic valve prosthesis through the ascending aorta concomitant with coronary artery bypass grafting without cardiopulmonary bypass.
- Authors
Ferreira Leal, João Carlos; Avanci, Luis Ernesto; Filho, Achilles Abelaira; Almeida, Thiago Faria; Braile, Domingo Marcolino
- Abstract
Introduction: The transcatheter aortic valve implantation in the treatment of high-risk symptomatic aortic stenosis has increased the number of implants every year. The learning curve for transcatheter aortic valve implantation has improved since the last 12 years, allowing access alternatives. Objective: The aim of this study is to approach the implantation of transcatheter aortic valve through transaortic via associated with off-pump cardiopulmonary bypass surgery in a 67-year-old man, with chronic obstructive pulmonary disease, arterial hypertension and kidney transplant. Methods: Off-pump coronary artery bypass surgery was performed and the valve in the aortic position was released successfully. Results: There were no complications in the intraoperative and postoperative period. Gradient reduction, effective orifice increasing of the prosthesis and absence of valvular regurgitation alter implantation were observed by transesophageal echocardiography. Conclusion: Procedural success demonstrates that implantation of transcatheter aortic valve through the ascending aorta associated with coronary artery bypass surgery without CPB is a new option for these patients.
- Subjects
AORTIC stenosis treatment; AORTIC valve surgery; CORONARY artery bypass; CARDIOPULMONARY bypass; CARDIAC catheterization; HEART valve prosthesis implantation; SURGICAL complications
- Publication
Brazilian Journal of Cardiovascular Surgery, 2014, Vol 29, Issue 4, p650
- ISSN
0102-7638
- Publication type
Article
- DOI
10.5935/1678-9741.20140117