Open AccessTRANSCATHETER AORTIC VALVE IMPLANTATION AFTER CORONARY ARTERY BYPASS GRAFT
Author(s) -
Aniss Seghrouchni,
Noureddine Atmani,
Younes Moutakiallah,
Youssef El Bekkali,
Mahdi Ait Houssa
Publication year - 2021
Publication title -
ra journal of applied research
Language(s) - English
Resource type - Journals
ISSN - 2394-6709
DOI - 10.47191/rajar/v7i10.14
Subject(s) - medicine , aortic valve replacement , stenosis , cardiology , perioperative , artery , surgery , bypass grafting , aortic valve , cardiac catheterization , aortic valve stenosis
The perioperative risk of surgical aortic valve replacement in patients with severe aortic stenosis and previous coronary artery bypass grafting (CABG) is increased. Transcatheter aortic valve implantation (TAVI) represents an alternative. We report a case of severe aortic stenosis with an indication for native aortic valve replacement in a patient with prior quadruple bypass surgery. The patient underwent implantation of a 29-mm Corevalve Evolut R aortic valve by left femoral catheterization (TAVI), under general anesthesia with surgical approach to the left scarpa. The procedure went well and the evolution was simple. TAVI after coronary artery bypass grafting is an increasingly proposed alternative procedure with excellent results in high-risk surgical patients with severe calcified aortic stenosis.