Abstract
A 79-year-old man with heart failure was referred to our attention for a degenerated bio-Bentall Mitroflow 27. The Heart Team decided for a valve-in-valve (ViV) transcatheter aortic valve implantation with an Acurate neo M associated to coronary protection due to high risk of coronary obstruction (CO). Besides the supra-anular design, this case shows additional potential advantages of the Acurate neo in ViV procedures: the upper crown, which is meant to favor supra-anular anchoring, also let to cap the bioprosthesis leaflets and minimize the risk of CO; there is not any interference between the valve cage and the stents protruding into the aorta, avoiding potential stent crushing and assuming an easier future coronary engagement.
Original language | English (US) |
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Pages (from-to) | 18-20 |
Number of pages | 3 |
Journal | Cardiovascular Revascularization Medicine |
Volume | 21 |
Issue number | 11 |
DOIs | |
State | Published - Nov 2020 |
Keywords
- Coronary obstruction
- Coronary protection
- Transcatheter aortic valve implantation
- Valve-in-valve
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine