Transcatheter Aortic Valve Replacement for a Failed Mechanical Aortic Prosthesis.

Nader, Joseph; Paradis, Jean-Michel; Zainulabdin, Omar; Dagenais, François; Mohammadi, Siamak; Kalavrouziotis, Dimitri · Ann Thorac Surg · 2019

case_report · Level V

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Abstract

The options for reoperation for a dysfunctional mechanical aortic prosthesis in a small aortic root may be limited for high-risk patients. This report describes a case in which transcatheter aortic valve replacement was used through the open aorta on cardiopulmonary bypass to minimize operative duration and reduce the risk of prosthesis-patient mismatch in a patient who was a Jehovah's Witness with a failed 17-mm mechanical aortic prosthesis.

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