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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| Language: | English |
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BMC
2024-12-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03178-9 |
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| author | Solveig Moss Kolseth Sahrai Saeed Pirjo-Riitta Salminen Vegard Skalstad Ellensen Venny Lise Kvalheim Abukar Mohamed Ali Rune Haaverstad |
| author_facet | Solveig Moss Kolseth Sahrai Saeed Pirjo-Riitta Salminen Vegard Skalstad Ellensen Venny Lise Kvalheim Abukar Mohamed Ali Rune Haaverstad |
| author_sort | Solveig Moss Kolseth |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b0e1cc96403445a3b4122ef20d086f01 |
| institution | OA Journals |
| issn | 1749-8090 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-b0e1cc96403445a3b4122ef20d086f012025-08-20T02:31:47ZengBMCJournal of Cardiothoracic Surgery1749-80902024-12-011911610.1186/s13019-024-03178-9A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experienceSolveig Moss Kolseth0Sahrai Saeed1Pirjo-Riitta Salminen2Vegard Skalstad Ellensen3Venny Lise Kvalheim4Abukar Mohamed Ali5Rune Haaverstad6Department of Heart Disease, Haukeland University HospitalDepartment of Heart Disease, Haukeland University HospitalDepartment of Heart Disease, Haukeland University HospitalDepartment of Heart Disease, Haukeland University HospitalDepartment of Heart Disease, Haukeland University HospitalDepartment of Heart Disease, Haukeland University HospitalDepartment of Heart Disease, Haukeland University HospitalAbstract 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.https://doi.org/10.1186/s13019-024-03178-9Full root replacementValve failureStructural valve degenerationTranscatheter aortic valve implantationEndocarditisRapid deployment valve |
| spellingShingle | Solveig Moss Kolseth Sahrai Saeed Pirjo-Riitta Salminen Vegard Skalstad Ellensen Venny Lise Kvalheim Abukar Mohamed Ali Rune Haaverstad A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experience Journal of Cardiothoracic Surgery Full root replacement Valve failure Structural valve degeneration Transcatheter aortic valve implantation Endocarditis Rapid deployment valve |
| title | A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experience |
| title_full | A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experience |
| title_fullStr | A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experience |
| title_full_unstemmed | A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experience |
| title_short | A rapid deployment valve option for failing Medtronic Freestyle full root: a single centre experience |
| title_sort | rapid deployment valve option for failing medtronic freestyle full root a single centre experience |
| topic | Full root replacement Valve failure Structural valve degeneration Transcatheter aortic valve implantation Endocarditis Rapid deployment valve |
| url | https://doi.org/10.1186/s13019-024-03178-9 |
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