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TAVI for Failed Valve-Sparing Operations: In-Hospital and Mid-Term Outcome
Francesco Notaristefano1, Salvatore Notaristefano2, Rocco Sclafani2
1Cardiovascular Pathology and Pathophysiology Department, University Hospital of Perugia, Italy. Electronic correspondence: not.francesco@gmail.com.
The Journal of Heart Valve Disease
|November 2, 2017
Summary
Transcatheter aortic valve implantation (TAVI) is a safe and feasible option for patients with failed valve-sparing operations, showing favorable mid-term outcomes. Further research in larger patient groups is needed to confirm these findings.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Transcatheter aortic valve implantation (TAVI) is an expanding treatment for aortic valve disease.
- The use of TAVI after valve-sparing surgery has not been previously studied.
Observation:
- Three patients with prior valve-sparing surgery underwent TAVI due to failed procedures.
- These high-risk patients had severe aortic stenosis or regurgitation.
Findings:
- TAVI using a self-expandable CoreValve prosthesis was technically successful in all three patients.
- No deaths occurred during the 13-month follow-up, with low transvalvular gradients and no valve deterioration.
Implications:
- TAVI appears feasible and safe for high-risk patients with failed valve-sparing operations.
- Larger studies are required to validate these preliminary findings and guide routine clinical practice.
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