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Interact Cardiovasc Thorac Surg. 2009 Jun;8(6):684-6. doi: 10.1510/icvts.2008.201798. Epub 2009 Mar 13.

Successful transapical aortic valve implantation four weeks before 97th birthday.

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Department of Thoracic and Cardiovascular Surgery, West-German Heart Center Essen, University of Duisburg-Essen, Germany.


Aortic valve replacement (AVR) is currently the treatment of choice in patients with symptomatic aortic stenosis, but transcatheter off-pump aortic valve implantation is a novel and emerging technique, which might be performed more frequently in the near future and may be a less invasive alternative to conventional AVR in selected high-risk patients. Up to date, the preoperative patient selection is debated and potential candidates for these new techniques are widely discussed. We report a successful transapical aortic valve implantation performed in a 96-year-old woman demonstrating the potential of the novel technique as an alternative treatment option in old and multimorbid patients at high risk for conventional AVR.

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