• ASAIO J. · Jan 2013

    Case Reports

    Concomitant transcatheter aortic valve and left ventricular assist device implantation.

    • Christina Baum, Moritz Seiffert, Hendrik Treede, Hermann Reichenspurner, and Tobias Deuse.
    • University Heart Center Hamburg, 20246 Hamburg, Germany.
    • ASAIO J. 2013 Jan 1; 59 (1): 90-2.

    AbstractRelevant aortic regurgitation (AR) requires surgical repair at the time of left ventricular assist device (LVAD) implantation to reduce recirculation and ensure adequate forward flow. We report here on a patient with moderate AR in a noncalcified aortic valve and extensive calcification of the ascending aorta. The latter precluded aortic-crossclamping and, thus, surgical intervention on the aortic valve. Although there were no valvular or annular calcifications, a JenaValve transcatheter heart valve was successfully placed transapically with subsequent LVAD implantation in one operation. We believe concomitant transcatheter aortic valve implantation (TAVI) and LVAD implantation is a promising hybrid procedure, even in patients with pure AR.

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