Longterm follow-up after aspirin-only therapy for a mechanical aortic valve prosthesis

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
M Schlömicher ◽  
PL Haldenwang ◽  
A Laczkovics ◽  
J Strauch
2021 ◽  
pp. 152660282110025
Author(s):  
Nikolaos Konstantinou ◽  
Sven Peterss ◽  
Jan Stana ◽  
Barbara Rantner ◽  
Ramin Banafsche ◽  
...  

Purpose To present a novel technique to successfully cross a mechanical aortic valve prosthesis. Technique A 55-year-old female patient with genetically verified Marfan syndrome presented with a 5-cm anastomotic aneurysm of the proximal aortic arch after previous ascending aortic replacement due to a type A aortic dissection in 2007. The patient also underwent mechanical aortic valve replacement in 1991. A 3-stage hybrid repair was planned. The first 2 steps included debranching of the supra-aortic vessels. In the third procedure, a custom-made double branched endovascular stent-graft with a short 35-mm introducer tip was implanted. The mechanical valve was passed with the tip of the dilator on the lateral site of the leaflet, without destructing the valve and with only mild symptoms of aortic insufficiency, as one leaflet continued to work. This allowed the implantation of the stent-graft directly distally of the coronary arteries. Postoperative computed tomography angiography showed no endoleaks and patent coronary and supra-aortic vessels. Conclusion Passing a mechanical aortic valve prosthesis at the proper position is feasible and allows adequate endovascular treatment in complex arch anatomy. However, caution should be taken during positioning of the endovascular graft as the tip may potentially damage the valve prosthesis.


2017 ◽  
Vol 42 (1) ◽  
pp. 49-57 ◽  
Author(s):  
Florian Hellmeier ◽  
Sarah Nordmeyer ◽  
Pavlo Yevtushenko ◽  
Jan Bruening ◽  
Felix Berger ◽  
...  

2014 ◽  
Vol 67 (5) ◽  
pp. 414-416
Author(s):  
Geoffrey Yanes-Bowden ◽  
Francisco Bosa-Ojeda ◽  
Alejandro Sánchez-Grande Flecha ◽  
Manuel J. Vargas-Torres ◽  
Ignacio Laynez-Cerdeña ◽  
...  

2008 ◽  
Vol 33 (4) ◽  
pp. 542-547 ◽  
Author(s):  
Daniel Wendt ◽  
Matthias Thielmann ◽  
Thomas Buck ◽  
Rolf-Alexander Jánosi ◽  
Torsten Bossert ◽  
...  

2016 ◽  
Vol 12 (3) ◽  
pp. 408-411 ◽  
Author(s):  
Tiffany Patterson ◽  
William R. Davies ◽  
Ronak Rajani ◽  
Simon Redwood ◽  
Christopher Young ◽  
...  

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