Transcatheter aortic valve implantation: fi rst trans-iliac experience in Japan
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Satoshi Kainuma, MD · Toru Kuratani MD, PhD Kazuo Shimamura, MD · Yasuharu Takeda, MD, PhD Kazuhiro Yamamoto, MD, PhD Satoshi Nakatani, MD, PhD Sh
- چاپ و سال / کشور: 2010
Description
Conventional aortic valve replacement (AVR) is the gold standard surgical treatment for symptomatic aortic valve stenosis. However, some patients are not referred for open surgical procedure because of their high risk due to complicated co-morbidities. We describe the fi rst case in Japan of successful transcatheter aortic valve implantation (TAVI). An 81-year-old woman with severe interstitial pneumonia was referred for signifi cant aortic valve stenosis. Conventional AVR might have been risky, so TAVI was planned after informed consent was obtained. Under general anesthesia was established, a 23-mm Edwards SAPIEN transcatheter heart valve was implanted through the common iliac artery. Postoperative echocardiographic assessment showed satisfactory hemodynamic function with a stable valve position, and she was discharged on day 7 without complications. At the 6-month follow-up, there had been no untoward events, and there was marked improvement in her functional status. TAVI for symptomatic aortic valve stenosis is a less invasive, alternative approach for high-risk patient
Gen Thorac Cardiovasc Surg (2011) 59:273–276 DOI 10.1007/s11748-010-0662-3 Received: 24 April 2010 / Accepted: 14 June 2010
