Transcatheter aortic valve replacement as a bridge to surgical aortic valve replacement in a younger patient with extremely high surgical risk

Koichi Maeda; Toru Kuratani; Kazuo Shimamura; Yu Yamada; Koichi Toda; Yoshiki Sawa

doi:10.1111/jocs.15138

Transcatheter aortic valve replacement as a bridge to surgical aortic valve replacement in a younger patient with extremely high surgical risk

J Card Surg. 2021 Jan;36(1):386-389. doi: 10.1111/jocs.15138. Epub 2020 Nov 1.

Authors

Koichi Maeda¹, Toru Kuratani², Kazuo Shimamura², Yu Yamada², Koichi Toda², Yoshiki Sawa²

Affiliations

¹ Department of Cardiovascular Surgery, Osaka Police Hospital, Osaka, Japan.
² Department of Cardiovascular Surgery, Graduate School of Medicine, Osaka University, Osaka, Japan.

PMID: 33135298
DOI: 10.1111/jocs.15138

Abstract

A 50-year-old man with decompensated aortic stenosis displayed significantly reduced ejection fraction, an ascending aortic aneurysm (55 mm in diameter), and bilateral giant bullae, and was evaluated as having extremely high surgical risk. Therefore, as a bridge to definitive treatment, he simultaneously underwent transcatheter aortic valve replacement (TAVR) and upper left lung lobectomy. His heart function recovered 6 months later and he underwent surgical aortic valve replacement (SAVR) and graft replacement of the ascending aorta. TAVR may serve as a bridge procedure before SAVR for aortic stenosis in younger patients with high surgical risk.

Keywords: aortic valve replacement; bicuspid aortic valve; transcatheter aortic valve replacement.

Publication types

Case Reports

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Stenosis* / surgery
Heart Valve Prosthesis Implantation*
Humans
Male
Middle Aged
Risk Factors
Transcatheter Aortic Valve Replacement*
Treatment Outcome