Related Experiment Video
Updated: Jun 7, 2026
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Minimally invasive aortic valve replacement in a transplanted heart
Nicola Vistarini1, Andrea Maria D'Armini, Carlo Pellegrini
1Department of Cardiothoracic Surgery, Foundation IRCCS Policlinico S.Matteo, Pavia University School of Medicine, Pavia, Italy. nvistar@tin.it
Aortic valve stenosis after heart transplant is rare, especially on a normal tricuspid valve. This case shows successful aortic valve replacement 16 years post-transplant using a minimally invasive approach.
Area of Science:
- Cardiology
- Cardiac Surgery
- Transplantation Medicine
Background:
- Chronic complications can affect heart transplant recipients, impacting graft survival and quality of life.
- Aortic valve stenosis is a rare post-transplant complication, with no prior reports on a tricuspid native valve.
Observation:
- A patient developed severe aortic valve stenosis 16 years after a heart transplant.
- The native aortic valve was extensively calcified and tricuspid.
Findings:
- Successful aortic valve replacement was performed using a biological prosthesis.
- A minimally invasive approach, specifically a reverse T upper mini-sternotomy, was employed.
Implications:
- This case expands the understanding of rare aortic valve complications following heart transplantation.
- Minimally invasive aortic valve replacement is a viable option for long-term transplant survivors.
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