Resolution of heart block after surgical correction of failed transcatheter aortic valve implantation

• Verfasst von: Weymann, Alexander [VerfasserIn]
• Verfasst von: Patil, Nikhil Prakash [VerfasserIn]
• Verfasst von: Karck, Matthias [VerfasserIn]
• Titel: Resolution of heart block after surgical correction of failed transcatheter aortic valve implantation
• Verf.angabe: Alexander Weymann, MD, Nikhil Prakash Patil, MRCS, MCh, and Matthias Karck, MD, PhD
• E-Jahr: 2015
• Jahr: 1 April 2015
• Umfang: 3 S.
• Fussnoten: Gesehen am 01.07.2020
• Titel Quelle: Enthalten in: The annals of thoracic surgery
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1965
• Jahr Quelle: 2015
• Band/Heft Quelle: 99(2015), 4, Seite 1437-1439
• ISSN Quelle: 1552-6259
• DOI: doi:10.1016/j.athoracsur.2014.06.102
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1703003179

Abstract

Surgical aortic valve replacement is the gold standard therapy for severe aortic stenosis but transcatheter aortic valve implantation (TAVI) is increasingly employed in “high-risk” patients. Atrioventricular block and aortic regurgitation are frequent complications of nitinol-based stented valves. We report a case of successful, but complex reoperative surgery 13 days after failed TAVI with iatrogenic aortic and mitral regurgitation and new-onset heart block. Removal of a CoreValve prosthesis (Medtronic Inc, Minneapolis, MN) with standard aortic valve replacement resulted in restoration of sinus rhythm and valvular competencies.