Redo After Failure of Aortic Homografts With a Rapid Deployment Valve

Ann Thorac Surg. 2016 Oct;102(4):e281-2. doi: 10.1016/j.athoracsur.2016.02.048.

Abstract

Homograft implantation in the aortic position was a common approach for full root aortic surgical procedures in the early 2000s. Reintervention after degeneration of such homografts remains a challenge. We report two cases of successful implantation of the Edwards Intuity Elite rapid deployment valve into patients with degeneration of existing aortic homograft implants leading to severe aortic regurgitation.

MeSH terms

  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / diagnostic imaging
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis*
  • Cardiac Surgical Procedures / adverse effects*
  • Cardiac Surgical Procedures / methods
  • Echocardiography, Transesophageal / methods
  • Follow-Up Studies
  • Graft Rejection
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Design
  • Reoperation / methods
  • Sampling Studies
  • Severity of Illness Index
  • Time Factors
  • Transplantation, Homologous / adverse effects
  • Transplantation, Homologous / methods
  • Treatment Outcome