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Case Reports
. 2024 Dec 20;19(1):667.
doi: 10.1186/s13019-024-03178-9.

A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experience

Solveig Moss Kolseth  1 , Sahrai Saeed  2 , Pirjo-Riitta Salminen  2 , Vegard Skalstad Ellensen  2 , Venny Lise Kvalheim  2   3 , Abukar Mohamed Ali  2 , Rune Haaverstad  2   3
Affiliations
Case Reports

A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experience

Solveig Moss Kolseth et al. J Cardiothorac Surg. .

Abstract

Background: There are several high-risk treatment options for valve failure of a biological full root replacement. When tailoring the best treatment option for the patient, implantation of a rapid deployment valve (RDV) should be considered.

Case presentation: Six patients presented with aortic regurgitation in a full root Freestyle bioprosthesis. Three had a history of valve endocarditis, while the remaining had non-infectious structural valve deterioration with leaflet and commissural tears. All patients were treated with a rapid deployment EDWARDS INTUITY Elite valve. Follow-up was complete for all patients. Postoperative echocardiography showed well-functioning valve prostheses with no paravalvular leaks and acceptable pressure gradients. Echocardiographic follow-up demonstrated excellent pressure gradients and a considerable decrease in the left ventricular mass index and left ventricular end-diastolic dimensions. Follow-up cardiac CT showed no signs of coronary obstruction or other pathology. During a median follow-up of 30 months neither biological valve failure, nor any events within the composite endpoint of major adverse cardiac and cerebrovascular events occurred.

Conclusions: This case series presents the EDWARDS INTUITY valve as a good treatment option in patients with failing Freestyle roots.

Keywords: Endocarditis; Full root replacement; Rapid deployment valve; Structural valve degeneration; Transcatheter aortic valve implantation; Valve failure.

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Conflict of interest statement

Declarations. Consent for publication: All patients have provided written informed consent for inclusion and publication in this case report series. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Intuity in Freestyle. Clockwise from the left: Peroperative image of Intuity implanted in Freestyle after aortic root enlargement. Follow-up cardiac CT-scan as illustrated here showed adequate conditions in the Freestyle root after Intuity-implantation in all
See this image and copyright information in PMC

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