Surgical explantation for a rapid deployment valve: the 'shave-and-hook technique'

Kyokun Uehara; Taku Shirakami; Yoshio Arai

doi:10.1093/icvts/ivae072

Surgical explantation for a rapid deployment valve: the 'shave-and-hook technique'

Interdiscip Cardiovasc Thorac Surg. 2024 May 2;38(5):ivae072. doi: 10.1093/icvts/ivae072.

Authors

Kyokun Uehara¹, Taku Shirakami¹, Yoshio Arai¹

Affiliation

¹ Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.

PMID: 38637941
DOI: 10.1093/icvts/ivae072

Abstract

An 80-year-old female patient underwent redo aortic valve replacement for haemolysis caused by moderate paravalvular leakage 1 year after a 21-mm Intuity Elite valve implantation. The elevatorium passed at the segment with paravalvular leakage. The frame was then bent inward using a hook and the peel around the sawing ring was shaved by an elevatorium. After explantation of the Intuity Elite valve, endoscopic examination showed no sign of annular or sub-annular damage. Conventional aortic valve replacement using a biological valve was performed. We introduce a safe alternative technique for explantation of a rapid deployed valve.

Keywords: Aortic valve replacement; Explantation; Rapid deployment valve.