Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?

被引：0
|
作者：
Olivier Jegaden
Joel Lapeze
Fadi Farhart
Guy de Gevigney
机构：
[1] University Claude Bernard Lyon 1,Department of Cardiac Surgery and Transplantation, Hospital Louis Pradel
[2] INSERM Carmen,undefined
来源：
Journal of Cardiothoracic Surgery | / 7卷
关键词：
Transcatheter Aortic Valve Implantation; Aortic Valve Stenosis; Paravalvular Leak; Transcatheter Aortic Valve Implantation Procedure; Severe Aortic Valve Stenosis;
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摘要：
We report a prospective comparison between transcatheter valve implantation (TAVI, n = 13) and surgical aortic valve replacement (AVR, n = 10) in patients with severe aortic valve stenosis and previous coronary bypass surgery (CABG). All patients had at least bilateral patent internal thoracic arteries bypass without indication of repeat revascularization. After a similar post-procedure outcome, despite one early death in TAVI group, the 1-year survival was 100% in surgical group and in transfemoral TAVI group, and 73% in transapical TAVI group. When previous CABG is the lone surgical risk factor, indications for a TAVI procedure have to be cautious, specially if transfemoral approach is not possible.
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