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Case Reports
. 2020 Jan;109(1):e17-e19.
doi: 10.1016/j.athoracsur.2019.04.104. Epub 2019 Jun 21.

Right Anterior Minithoracotomy for Endocarditis After Transcatheter Aortic Valve Replacement

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Case Reports

Right Anterior Minithoracotomy for Endocarditis After Transcatheter Aortic Valve Replacement

Konstantin Zhigalov et al. Ann Thorac Surg. 2020 Jan.

Abstract

Transcatheter aortic valve replacement (TAVR) has become an equivalent alternative to surgical aortic valve replacement also in patients at low surgical risk. Prosthetic valve endocarditis after TAVR (TAVR-PVE) is a dangerous complication with the highest mortality rate among endocarditis patients. Only a minority of patients receive surgical treatment of TAVR-PVE. We present a case of surgical treatment of TAVR-PVE in a 75-year-old patient. The success of the treatment is based on the reduction of the operative trauma and length of the procedure with the use of minimally invasive right-sided thoracotomy and the Perceval sutureless aortic valve prosthesis (LivaNova, London, United Kingdom).

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Comment in

  • Rescue Aortic Root Replacement for Endocarditis After Transcatheter Aortic Valve Replacement.
    Bagozzi L, Bottio T, Gerosa G. Bagozzi L, et al. Ann Thorac Surg. 2020 Jun;109(6):1948-1949. doi: 10.1016/j.athoracsur.2019.09.093. Epub 2019 Nov 23. Ann Thorac Surg. 2020. PMID: 31765621 No abstract available.
  • Reply.
    Zhigalov K, Weymann A. Zhigalov K, et al. Ann Thorac Surg. 2020 Jun;109(6):1949-1950. doi: 10.1016/j.athoracsur.2019.10.011. Epub 2019 Nov 26. Ann Thorac Surg. 2020. PMID: 31778643 No abstract available.

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