Direct Aortic CoreValve Implantation via Right Anterior Thoracotomy in a Patient with Patent Bilateral Mammary Artery Grafts and Aortic Arch Chronic Dissection

Giuseppe Bruschi, Pasquale Fratto, Paola Colombo, Alberto Barosi, Luca Botta, Stefano Nava, Francesco Soriano, Maria P Gagliardone, Claudio F Russo, Silvio Klugmann

Abstract


Direct aortic trans-catheter aortic valve implantation is an alternative approach to treat high risk for surgery patients affected by severe aortic stenosis and concomitant peripheral vascular disease.

We describe a case of direct aortic CoreValve implantation made via a right anterior thoracotomy in a 78-year-old male affected by severe aortic stenosis and severe peripheral vasculopathy, who previously underwent coronary artery bypass grafting, with patent bilateral mammary artery grafts and chronic aortic arch dissection.


Keywords


Aortic stenosis; Transcatheter Valve Replacement; Direct Aortic; Aortic Valve

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Ludman PF, Moat N, de Belder MA, Blackman DJ, Duncan A, Banya W, MacCarthy PA, Cunningham D, Wendler O, Marlee D, Hildick-Smith D, Young CP, Kovac J, Uren NG, Spyt T, Trivedi U, Howell J, Gray H; on behalf of the UK TAVI Steering Committee and the National Institute for Cardiovascular Outcomes Research.: Transcatheter Aortic Valve Implantation in the UK: Temporal Trends, Predictors of Outcome and 6 Year Follow Up: A Report from the UK TAVI Registry 2007 to 2012. Circ. 2015; Jan. Epub ahead of print.

Smith CR, Leon MB, Mack MJ, Miller DC, Moses JW, Svensson LG, Tuzcu EM, Webb JG, Fontana GP, Makkar RR, Williams M, Dewey T, Kapadia S, Babaliaros V, Thourani VH, Corso P, Pichard AD, Bavaria JE, Herrmann HC, Akin JJ, Anderson WN, Wang D, Pocock SJ; PARTNER Trial Investigators: Transcatheter versus surgical aortic valve replacement in high-risk patients. N Engl J Med 2011; 364:2187-98.

Adams DH, Popma JJ, Reardon MJ, Yakubov SJ, Coselli JS, Deeb GM, Gleason TG, Buchbinder M, Hermiller J Jr, Kleiman NS, Chetcuti S, Heiser J, Merhi W, Zorn G, Tadros P, Robinson N, Petrossian G, Hughes GC, Harrison JK, Conte J, Maini B, Mumtaz M, Chenoweth S, Oh JK; U.S. CoreValve Clinical Investigators. Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med. 2014; 370: 1790-8.

Petronio AS, De Carlo M, Bedogni F, Maisano F, Ettori F, Klugmann S, Poli A, Marzocchi A, Santoro G, Napodano M, Ussia GP, Giannini C, Brambilla N, Colombo A: 2-year results of CoreValve implantation through the subclavian access: a propensity-matched comparison with the femoral access. J Am Coll Cardiol. 2012; 60:502-7.

Bruschi G, de Marco F, Botta L, Cannata A, Oreglia J, Colombo P, Barosi A, Colombo T, Nonini S, Paino R, Klugmann S, Martinelli L: Direct aortic access for transcatheter self-expanding aortic bioprosthetic valves implantation. Ann Thorac Surg. 2012; 94:497-503.

Bruschi G, De Marco F, Botta L, Barosi A, Colombo p, Mauri S, Cannata A, Morici N, Colombo T, Fratto P, Nonini S, Soriano F, Mondino M, Giannattasio C, Klugmann S: Right anterior mini-thoracotomy direct aortic self-expanding trans-catheter aortic valve implantation: A single center experience. Int J Card 2015; 181:437–442.

Hayashida K, Romano M, Lefèvre T, Chevalier B, Farge A, Hovasse T, Le Houerou D, Morice MC: The transaortic approach for transcatheter aortic valve implantation: a valid alternative to the transapical access in patients with no peripheral vascular option. A single center experience. Eur J Cardiothorac Surg. 2013; 44:692-700.

Bruschi G, De Marco F, Botta L, Oreglia J, Colombo P, Paino R, Klugmann S, Martinelli L: Direct transaortic CoreValve implantation through right mini-thoracotomy in patients with patent coronary grafts. Ann Thorac Surg 2012; 93: 1297–9




DOI: https://doi.org/10.17987/icfj.v4i0.149

Copyright (c) 2015 Giuseppe Bruschi, Pasquale Fratto, Paola Colombo, Alberto Barosi, Luca Botta, Stefano Nava, Francesco Soriano, Maria P Gagliardone, Claudio F Russo, Silvio Klugmann

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