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

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

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 aort...

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Bibliographic Details
Main Authors: Solveig Moss Kolseth, Sahrai Saeed, Pirjo-Riitta Salminen, Vegard Skalstad Ellensen, Venny Lise Kvalheim, Abukar Mohamed Ali, Rune Haaverstad
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Full root replacement
Valve failure
Structural valve degeneration
Transcatheter aortic valve implantation
Endocarditis
Rapid deployment valve
Online Access:https://doi.org/10.1186/s13019-024-03178-9
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Summary: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.
ISSN:1749-8090

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