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Pushing boundaries: Implantation of the 34 mm M edtronic C ore V alve in patients with a large aortic annulus
Author(s) -
Elmously Adham,
Worku Berhane,
Wong S. Chiu,
Salemi Arash
Publication year - 2018
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27407
Subject(s) - medicine , cardiac skeleton , regurgitation (circulation) , aortic valve , cardiology , valve replacement , annulus (botany) , heart valve , surgery , aortic valve replacement , stenosis , botany , biology
The relationship between adherence to the recommended CoreValve sizing parameters and clinical outcomes is not well known for the recently released 34 mm valve, which is currently the largest available transcatheter valve. There is a presumed temporal reduction in paravalvular regurgitation in patients who receive an in‐range valve, however, certain patients possess annular dimensions that are too large. We therefore describe two patients with annular dimensions larger than the manufacturer recommended range for the 34 mm CoreValve, who despite this underwent transcatheter aortic valve replacement with excellent clinical outcomes.