Symetis valve implantation in failing freestyle with close proximity between coronary Ostia and annulus

Ann Thorac Surg. 2015 Apr;99(4):e87-8. doi: 10.1016/j.athoracsur.2015.01.044.

Abstract

Transcatheter treatment of patients with degenerated aortic valve stentless prosthesis and low proximal coronary ostia to the aortic annulus remain a challenge because of the elevated risk for coronary obstruction. Newer generation transcatheter aortic valve devices that engage and pull the aortic valve calcium towards the aortic annulus may be beneficial in these patients. We present a case of successful treatment of a degenerated tubular stentless prosthesis with low coronary ostia with a Symetis Acurate TA prosthesis.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis*
  • Cardiac Catheterization*
  • Cardiac Valve Annuloplasty
  • Coronary Artery Bypass / adverse effects
  • Coronary Artery Bypass / methods
  • Coronary Sinus
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / surgery
  • Echocardiography, Doppler
  • Follow-Up Studies
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Prosthesis Design
  • Prosthesis Failure*
  • Risk Assessment
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome