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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2020 / Cilt: 28 - Sayı: 1

Aortic valve replacement using valve-in-valve procedure in a patient with left atrial appendage thrombus

Sol atriyal apendikste trombüsü olan bir hastada kapak içine kapak işlemi ile aort kapak replasmanı

Mehmet ERDOĞAN
Engin BOZKURT
Pages
205–208
Publication Date
2022-09-02
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, we aimed to showthat valve-in-valve transcatheter aortic valve replacement can beperformed in a patient with thrombus in the left atrial appendage.

📌 3 Key Takeaways

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Objective & Hypothesis:In recent years, indications and age range of patients who areeligible for transcatheter aortic valve replacement have beenincreasingly extended.
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Key Findings & Data:An 86-year-old malepatient was admitted with symptomatic severe aortic stenosissecondary to degeneration of a 22-mm bioprosthetic valveimplanted 14 years ago.
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Conclusion & Impact:In conclusion, we aimed to showthat valve-in-valve transcatheter aortic valve replacement can beperformed in a patient with thrombus in the left atrial appendage.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In recent years, indications and age range of patients who areeligible for transcatheter aortic valve replacement have beenincreasingly extended. The presence of a thrombus in the leftatrial appendage is an exclusion criterion in many studies usingtranscatheter aortic valve replacement. An 86-year-old malepatient was admitted with symptomatic severe aortic stenosissecondary to degeneration of a 22-mm bioprosthetic valveimplanted 14 years ago. Transesophageal echocardiographyrevealed a thrombus in the left atrial appendage and it wasconfirmed by contrast-enhanced computed tomography. Theballoon-expandable valve was successfully implanted into thedegenerated aortic bioprosthesis. In conclusion, we aimed to showthat valve-in-valve transcatheter aortic valve replacement can beperformed in a patient with thrombus in the left atrial appendage.

Özet

Son yıllarda transkateter aort kapak replasmanı için uygun olan hastaların endikasyonları ve yaş aralığı giderek genişlemektedir. Transkateter aort kapak replasmanının uygulandığı birçok çalışmada sol atriyal apendikste trombüs varlığı bir dışlanma kriteridir. Seksen altı yaşında erkek hasta, 14 yıl önce implante edilen 22 mm'lik bir biyoprotez kapağın dejenerasyonuna bağlı semptomatik ciddi aort darlığı ile başvurdu. Transözofageal ekokardiyografide sol atriyal apendikste trombüs görüldü ve kontrastlı bilgisayarlı tomografi ile doğrulandı. Balon ile genişleyen kapak, dejenere olmuş aort biyoprotezine başarıyla yerleştirildi. Sonuç olarak, sol atriyal apendikste trombüsü olan bir hastada kapak içine kapak yöntemi ile transkateter aort kapak replasmanının yapılabileceğini göstermeyi amaçladık.

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Cite This Article

ERDOĞAN, M., BOZKURT, E. (2022). Aortic valve replacement using valve-in-valve procedure in a patient with left atrial appendage thrombus. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 28 - Sayı: 1, 205–208. https://ajindex.com/articles/423669

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References (8)

  1. Ye J, Cheung A, Yamashita M, Wood D, Peng D, Gao M, et al. Transcatheter aortic and mitral valve-in-valve implantation for failed surgical bioprosthetic valves: An 8-year single-center experience. JACC Cardiovasc Interv 2015;8:1735-44
  2. Bapat VN, Attia R, Thomas M. Effect of valve design on the stent internal diameter of a bioprosthetic valve: a concept of true internal diameter and its implications for the valve-invalve procedure. JACC Cardiovasc Interv 2014;7:115-27
  3. Webb JG, Murdoch DJ, Alu MC, Cheung A, Crowley A, Dvir D, et al. 3-Year outcomes after valve-in-valve transcatheter aortic valve replacement for degenerated bioprostheses: the partner 2 registry. J Am Coll Cardiol 2019;73:2647-55
  4. Shivaraju A, Thilo C, Sawlani N, Ott I, Schunkert H, von Scheidt W, et al. Aortic Valve Predilatation with a Small Balloon, without Rapid Pacing, prior to Transfemoral Transcatheter Aortic Valve Replacement. Biomed Res Int 2018;2018:1080597
  5. García E, Martín P, Hernández R, Rodríguez V, Fernández A, Gama V, et al. Feasibility and safety of transfemoral implantation of Edwards SAPIEN XT prosthesis without balloon valvuloplasty in severe stenosis of native aortic valve. Catheter Cardiovasc Interv 2014;83:791-5
  6. Smith CR, Leon MB, Mack MJ, Miller DC, Moses JW, Svensson LG, et al. Transcatheter versus surgical aorticvalve replacement in high-risk patients. N Engl J Med 2011;364:2187-98
  7. Palmer S, Child N, de Belder MA, Muir DF, Williams P. Left atrial appendage thrombus in transcatheter aortic valve replacement: incidence, clinical impact, and the role of cardiac computed tomography. JACC Cardiovasc Interv 2017;10:176-84
  8. Ayhan H, Durmaz T, Keleş T, Aslan AN, Sarı C, Kasapkara H, et al. Transcatheter aortic valve implantation in patients with left atrial appendix thrombus. Russ J Cardiol 2014;105:19-22.