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Tissue “valve‐over‐valve” implantation in previous mechanical Bentall
Author(s) -
Okiwelu Ngozichukwuka L. E.,
Ramponi Fabio,
Thakur Sameer,
Vo Tovi,
Edwards James
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14911
Subject(s) - medicine , mechanical valve , surgery , bentall procedure , aortic valve , aortic root , aorta
Multiple studies have reported the adverse impact of audible clicks from mechanical heart valves on the quality of life. Sadly, this can become a lifelong liability in younger patients necessitating explantation. Bioprosthetic valve replacement is the treatment for this distressing condition associated with an isolated mechanical valve. However, patients who have undergone a mechanical Bentall's procedure represent a unique surgical challenge. In view of the significant complications associated with a redo aortic root operation, the alternative of a “valve‐over‐valve” implantation is an attractive option that might present reduced morbidity. We report a unique case of valve noise intolerance in a patient who underwent a bioprosthetic valve‐over‐valve replacement following previous Bentall's procedure with a mechanical valved conduit.