Experience of aortic valve implantation through apical approach
ZHUPeng
ZHENGShaoyi
JIANGYu
LICai
LIUKexuan
CUIKai
XIUJiancheng
BINJianping
HOUXiaomin
TENGZhonghua
CHENZhao
Abstract：ObjectiveTo evaluate the perioperative outcome of patients with high-risk aortic valve disease performed with transapical aortic valve implantation.MethodsA retrospective analysis of the perioperative experience of 3 patients with transapical aortic valve implantation in our department from September to November 2018.ResultsAll patients underwent a full evaluation of the patient's surgical risk and benefit by the cardiac team before surgery. The risk was analyzed carefully. The implantation angle, valve type and surgical approach were evaluated by the aortic valve root CTA before surgery. The J-valve valve was released under continuous transesophageal ultrasound guidance. The operations were successful. One patient had high atrioventricular block after operation, and a permanent cardiac pacemaker was implanted by the cardiologist before discharge. The other two patients recovered well. No paravavular leak and arrhythmia were observed. The review of cardiac function was significantly improved, and the recent clinical effect was good.ConclusionTransapical aortic valve implantation is an effective treatment for patients with high-risk aortic valve, which significantly reduces the risk of perioperative period. It is satisfactory in early postoperative results.
Keywords：aortic valve diseasetranscatheterminimally invasivetransapical
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 190-193 )