Transcatheter JenaValve Implantation in a Stentless Prosthesis: A Challenging Case After 4 Previous Aortic Procedures

Sandro Sponga; Enzo Mazzaro; Rodrigo Bagur; Ugolino Livi

doi:10.1016/j.cjca.2016.10.031

Transcatheter JenaValve Implantation in a Stentless Prosthesis: A Challenging Case After 4 Previous Aortic Procedures

Can J Cardiol. 2017 Apr;33(4):555.e17-555.e19. doi: 10.1016/j.cjca.2016.10.031. Epub 2016 Nov 11.

Authors

Sandro Sponga¹, Enzo Mazzaro², Rodrigo Bagur³, Ugolino Livi²

Affiliations

¹ Cardiothoracic Department, University Hospital of Udine, Udine, Italy. Electronic address: sandro_sponga@yahoo.com.
² Cardiothoracic Department, University Hospital of Udine, Udine, Italy.
³ Division of Cardiology, Department of Medicine, London Health Sciences Center, Western University, London, Ontario, Canada.

PMID: 28174055
DOI: 10.1016/j.cjca.2016.10.031

Abstract

A 40-year-old man underwent 4 aortic surgeries because of endocarditis and subsequent prosthesis dehiscence. At the last recurrence he presented with acute severe aortic regurgitation of a Pericarbon Freedom (LivaNova plc, London, UK) stentless bioprosthesis and a morphologically disarranged aortic root. He also presented with left ventricular dysfunction and a very low origin of the left coronary artery. Therefore, a fifth redo aortic valve replacement was considered at high surgical risk. Accordingly, before listing the patient for a heart transplantation, a transcatheter valve-in-valve implantation with the JenaValve (JenaValve Technology, GmbH, Munich, Germany) prosthesis was performed.

Publication types

Case Reports

MeSH terms

Acute Disease
Adult
Aortic Valve / surgery*
Aortic Valve Insufficiency / diagnosis
Aortic Valve Insufficiency / surgery*
Bioprosthesis*
Echocardiography, Transesophageal
Heart Valve Prosthesis*
Humans
Male
Prosthesis Design
Reoperation
Stents
Transcatheter Aortic Valve Replacement / methods*