Implantation of transcatheter aortic valve prosthesis through the ascending aorta concomitant with coronary artery bypass grafting without cardiopulmonary bypass

Revista Brasileira de Cirurgia Cardiovascular

João Carlos Ferreira Leal¹  Luis Ernesto Avanci¹  Achilles Abelaira Filho¹  Thiago Faria Almeida¹  Domingo Marcolino Braile¹ 

关键词: Thoracic Aorta;    Aortic valve stenosis;    Valve Prosthesis Implantation;    Cardiopulmonary bypass;    Coronary artery bypass grafting;    Systemic inflammatory response syndrome;    Aorta torácica;    Estenose da valva aórtica;    Implante de Prótese de Valva;    Circulação extracorpórea;    Revascularização do miocárdio;    Síndrome da resposta inflamatória sistêmica;   

DOI  :  10.5935/1678-9741.20140117

来源: SciELO

【 摘 要 】

Introdution: The transcatheter aortic valve implantation in the treatment of high-risk symptomatic aortic stenosis has increased the number of implants every year. The learning curve for transcatheter aortic valve implantation has improved since the last 12 years, allowing access alternatives. Objective: The aim of this study is to approach the implantation of transcatheter aortic valve through transaortic via associated with off-pump cardiopulmonary bypass surgery in a 67-year-old man, with chronic obstructive pulmonary disease, arterial hypertension and kidney transplant. Methods: Off-pump coronary artery bypass surgery was performed and the valve in the aortic position was released successfully. Results: There were no complications in the intraoperative and postoperative period. Gradient reduction, effective orifice increasing of the prosthesis and absence of valvular regurgitation after implantation were observed by transesophageal echocardiography. Conclusion: Procedural success demonstrates that implantation of transcatheter aortic valve through the ascending aorta associated with coronary artery bypass surgery without CPB is a new option for these patients.

【 授权许可】

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