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Ross Procedure Following a Dislodged Transcatheter Aortic Valve Replacement
Samuel R Schnittman1, Aaron J Weiss1, Robin Varghese1
1Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
The Journal of Heart Valve Disease
|May 16, 2018
Summary
This case report details a pregnant woman with severe aortic stenosis who experienced complications after transcatheter aortic valve replacement (TAVR). The Ross procedure was successfully performed, highlighting its potential in complex cases.
Area of Science:
- Cardiology
- Cardiac Surgery
- Cardiovascular Medicine
Background:
- A 36-year-old pregnant patient with a history of rheumatic heart disease and prior aortic valve surgery presented with severe aortic stenosis.
- The patient experienced a cardiac arrest during labor induction, necessitating urgent intervention.
Observation:
- An initial transcatheter aortic valve replacement (TAVR) dislodged two days post-procedure.
- The patient subsequently underwent removal of the dislodged TAVR and a Ross procedure.
Findings:
- The Ross procedure was successfully performed in a patient with a dislodged TAVR, a scenario not previously reported.
- The patient was discharged in stable condition with minimal aortic and pulmonary regurgitation.
Implications:
- This case suggests caution with bioprosthetic and transcatheter aortic valves in young patients, especially during pregnancy.
- The Ross procedure, when performed at experienced centers, may be a viable option in complex aortic stenosis cases.
- Further research is warranted on the long-term outcomes of the Ross procedure in young patients with complex cardiac histories.
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