Implantation of the CoreValve percutaneous aortic valve

被引:14
作者
Lamarche, Yoan
Cartier, Raymond
Denault, Andre Y.
Basmadjian, Arsene
Berry, Colin
Laborde, Jean-Claude
Bonan, Raoul
机构
[1] Montreal Heart Inst, Dept Surg, Montreal, PQ H1T 1C8, Canada
[2] Montreal Heart Inst, Dept Anesthesiol, Montreal, PQ H1T 1C8, Canada
[3] Montreal Heart Inst, Dept Cardiol, Montreal, PQ H1T 1C8, Canada
[4] Univ Montreal, Montreal, PQ H3C 3J7, Canada
[5] Clin Pasteur, Dept Cardiol, Toulouse, France
关键词
D O I
10.1016/j.athoracsur.2006.05.121
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Surgical aortic valve replacement is the only recommended treatment for significant aortic valve stenosis. Percutaneous aortic valve replacement appears to be a novel option for high-risk patients. We report the implantation of the ReValving system (CoreValve, Paris, France) in a 64-year-old woman who was refused aortic valve replacement surgery for critical aortic stenosis and left ventricular dysfunction because of severe pulmonary fibrosis. After anesthesia, the patient was put on femorofemoral cardiopulmonary bypass, and underwent a balloon valvuloplasty with subsequent retrograde aortic valve replacement by the ReValving system. Transesophageal echocardiographic monitoring of the patient's hemodynamics showed immediate improvements of the valvular area and left ventricular ejection fraction and only traces of paravalvular leaks. The patient was easily weaned from ventilation and resumed activity soon after the surgery. A multidisciplinary approach is presently necessary to offer a reliable and safe procedure.
引用
收藏
页码:284 / 287
页数:4
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