Direct aortic transcatheter aortic valve implantation for pure aortic valve regurgitation after implantation of a left ventricular assist device René.

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Presentation transcript:

Direct aortic transcatheter aortic valve implantation for pure aortic valve regurgitation after implantation of a left ventricular assist device René Krause, MD, Dietrich Metz, MD, Hasan Bushnaq, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 4, Pages e38-e41 (April 2014) DOI: 10.1016/j.jtcvs.2013.11.039 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Standard posteroanterior chest radiograph shows the left ventricular assist device (HeartMate II) and an implantable cardioverter defibrillator. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e38-e41DOI: (10.1016/j.jtcvs.2013.11.039) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Color Doppler M-mode echocardiography of the aortic valve insufficiency in the parasternal long-axis view shows continuous blood flow to the left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e38-e41DOI: (10.1016/j.jtcvs.2013.11.039) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Primary access was obtained through a ministernotomy. Asterisk indicates left ventricular assist device outflow cannula; hash mark indicates 5F sheath in the distal ascending aorta. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e38-e41DOI: (10.1016/j.jtcvs.2013.11.039) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Posteroanterior radiograph obtained by using a standard C-bow shows the final result with 2 CoreValves, both 31 mm, implanted as a valve-in-valve technique. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e38-e41DOI: (10.1016/j.jtcvs.2013.11.039) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions