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Surgical aortic valve replacement after percutaneous aortic valve implantation: What have we learned?  Pierre-Yves Litzler, MD, Alain Cribier, MD, Alan.

Published byJulien Langevin Modified over 5 years ago

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Presentation on theme: "Surgical aortic valve replacement after percutaneous aortic valve implantation: What have we learned?  Pierre-Yves Litzler, MD, Alain Cribier, MD, Alan."— Presentation transcript:

1 Surgical aortic valve replacement after percutaneous aortic valve implantation: What have we learned?  Pierre-Yves Litzler, MD, Alain Cribier, MD, Alan Zajarias, MD, Diane Comte, MD, Hélène Eltchaninoff, MD, Christophe Tron, MD, Catherine Haas-Hubscher, MD, Jean-Paul Bessou, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 136, Issue 3, Pages (September 2008) DOI: /j.jtcvs Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Supra-aortic angiogram showing commissural paravalvular leak (arrow). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Operative view demonstrating the presence of paravalvular leaks on the commissures between the left and right coronary cusps and between the left and noncoronary cusps (arrows). The valve presents a geometric asymmetry of the 3 cusps, leading to a dehisced prosthesis with a small central incompetence. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Percutaneous heart valve removal with a Kelly forceps.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Operative view after removal of the percutaneous heart valve showing the calcified cusps, which remained open because of the rupture of the valve calcifications. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

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