Aortic Valve Replacement With a Custom Made 15 mm Mechanical Prosthesis in Pediatric Patients

Reoperations for a dysfunctional mechanical aortic valve prosthesis are usually performed with a repeat sternotomy. Reopening the chest may be associated with a heart structure tear, bleeding, excessive transfusion, and a possible unfavorable outcome. Experience performing a redo aortic valve replacement with a minimally invasive approach and avoiding lysis of the pericardial adhesions is growing. We describe a redo aortic valve replacement procedure performed because of subvalvular pannus formation in a patient with a mechanical prosthesis. A partial J-shaped hemisternotomy at the 3rd intercostal space was performed; the ascending aorta was exposed and the valve was replaced with a sutureless bioprosthesis. The video tutorial shows the surgical approach, cardiopulmonary bypass solutions, and sutureless valve deployment.

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One-stage off pump combined transapical aortic valve replacement and ascending aorta endografting

European Journal of Cardio-Thoracic Surgery ◽

10.1093/ejcts/ezaa301 ◽

2020 ◽

Cited By ~ 1

Author(s):

Gino Gerosa ◽

Giorgia Cibin ◽

Michele Antonello ◽

Augusto D’Onofrio

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Transcatheter Aortic Valve Replacement ◽

Ascending Aorta ◽

Off Pump ◽

Stent Grafting ◽

Transcatheter Aortic Valve ◽

Custom Made ◽

Risk Patients

Abstract An 84-year-old patient was referred for severe symptomatic aortic valve stenosis and focal chronic dissection of the ascending aorta. After multidisciplinary discussion, the patient was scheduled for combined transapical transcatheter aortic valve replacement and ascending aorta stent-grafting. The procedure was performed with a balloon aortic valvuloplasty followed by a custom-made stent graft implantation into the ascending aorta and then by balloon-expandable transapical transcatheter aortic valve replacement. The patient had an uneventful hospital stay. In conclusion, in selected high-risk patients, transapical combined ascending aorta stent-grafting and transcatheter aortic valve replacement are feasible and safe.

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Aortic valve replacement by mechanical prosthesis in children: A positive long-term outcome including for patients with an infantile Marfan syndrome

Archives of Cardiovascular Diseases Supplements ◽

10.1016/j.acvdsp.2018.10.306 ◽

2019 ◽

Vol 11 (1) ◽

pp. 137-138

Author(s):

A. Moreau de Bellaing ◽

O. Raisky ◽

A. Haydar ◽

D. Bonnet ◽

F. Bajolle

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Marfan Syndrome ◽

Valve Replacement ◽

Mechanical Prosthesis ◽

Term Outcome ◽

Long Term Outcome

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Dacron Patch Closure of Ventricular Septal Defect with Concomitant Aortic Valve Replacement using a Mechanical Prosthesis: A Video Presentation

Journal of Cardiac Critical Care TSS ◽

10.1055/s-0040-1709271 ◽

2019 ◽

Vol 3 (02) ◽

pp. 099-100

Author(s):

Ujjwal Kumar Chowdhury ◽

Niwin George ◽

Sukhjeet Singh ◽

Poonam Malhotra Kapoor ◽

Lakshmi Kumari Sankhyan ◽

...

Keyword(s):

Aortic Valve ◽

Ventricular Septal Defect ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Septal Defect ◽

Mechanical Prosthesis ◽

Jude Medical ◽

Technical Details ◽

Patch Closure ◽

Dacron Patch

AbstractWe performed Dacron patch closure of ventricular septal defect with concomitant aortic valve replacement using a St. Jude Medical mechanical aortic prosthesis for a patient with ventricular septal defect and severely deformed and irreparable aortic valve. We highlight the technical details of the procedure to prevent paravalvular aortic leakage and residual ventricular septal defect.

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