Aortic valve stenosis after previous coronary bypass:

J Cardiothorac Surg · Jan 2012

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

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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- Olivier Jegaden, Joel Lapeze, Fadi Farhart, and Guy de Gevigney.
- Department of Cardiac Surgery and Transplantation, Hospital Louis Pradel, University Claude Bernard Lyon 1, INSERM Carmen, 28 Avenue du doyen LEPINE, Bron 69677, France. olivier.jegaden@chu-lyon.fr
- J Cardiothorac Surg. 2012 Jan 1;7:47.
AbstractWe 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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Aortic valve stenosis after previous coronary bypass: transcatheter valve implantation or aortic valve replacement?

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