Totally endoscopic aortic valve replacement after open surgical and subsequent transcatheter aortic valve replacement.

Q4 Medicine

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-05-19 DOI:10.1510/mmcts.2024.126

Silke Van Genechten, William Hillen, Jade Claessens, Loren Packlé, Hanne Oosterbos, Samuel Heuts, Alaaddin Yilmaz

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引用次数: 0

Abstract

Transcatheter aortic valve replacement is increasingly being offered to younger and lower risk patients, including patients with previous surgical aortic valve replacement. The long-term outcome of valve-in-valve transcatheter aortic valve replacement after surgical valve replacement remains uncertain. We present the case of a fully thoracoscopic redo aortic valve replacement for symptomatic valve-in-valve stenosis after previous open surgical aortic valve replacement and secondary valve-in-valve transcatheter aortic valve replacement. This procedure has proven to be difficult and high risk, in part due to the redo nature of the operation and the extensive neo- endothelialization over the transcatheter aortic valve replacement stent frame. This article demonstrates the feasibility of a minimally invasive approach for transcatheter aortic valve replacement and bioprosthetic valve explant while simultaneously highlighting the essential role of the heart team in selecting the correct treatment strategy for patients with bioprosthetic valve degeneration.

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全内镜主动脉瓣置换术后开放手术和随后经导管主动脉瓣置换术。

经导管主动脉瓣置换术越来越多地提供给年轻和低风险的患者，包括既往手术主动脉瓣置换术的患者。瓣膜置换术后经导管瓣内置换术的长期预后仍不确定。我们报告一例在先前的开放手术主动脉瓣置换术和二次经导管主动脉瓣置换术后出现瓣中瓣狭窄症状的全胸腔镜重做主动脉瓣置换术。该手术已被证明是困难和高风险的，部分原因是手术的重做性质和经导管主动脉瓣置换术支架框架上广泛的新内皮化。本文论证了经导管主动脉瓣置换术和生物瓣膜外植体微创入路的可行性，同时强调了心脏团队在生物瓣膜退行性变患者选择正确治疗策略中的重要作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.