Transapical aortic valve implantation following a left pneumonectomy.

Abstract

Transapical transcatheter aortic valve implantation is an emerging technique for high-risk patients with symptomatic aortic valve stenosis, peripheral vascular disease, and severe concomitant comorbidities. However, a previous major surgical intervention involving the left hemithorax and the lung has always been considered a technical surgical challenge or even a potential contraindication for this minimally invasive procedure. With this report, we demonstrate, for the first time, that a previous left pneumonectomy followed by mediastinal radiotherapy does not affect the feasibility of transapical transcatheter aortic valve implantation, and we discuss the preoperative workup and the peculiar intraoperative cardiac imaging and surgical assessment.

• Authors: Enrico Ferrari, Christopher Sulzer, Carlo Marcucci, Salah Dine Qanadly, Didier Locca, Denis Berdajs, Ludwig Karl von Segesser
• Journal: Journal of cardiac surgery (J Card Surg) Vol. 26 Issue 1 Pg. 28-30 (Jan 2011) ISSN: 1540-8191 [Electronic] United States
• PMID: 21156000 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2010 Wiley Periodicals, Inc.

Topics

• Aortic Valve Stenosis (diagnostic imaging, etiology, surgery)
• Fluoroscopy
• Heart Valve Prosthesis Implantation (methods)
• Humans
• Lung Neoplasms (complications, radiotherapy, surgery)
• Male
• Middle Aged
• Monitoring, Intraoperative
• Peripheral Vascular Diseases (complications)
• Pneumonectomy
• Risk
• Severity of Illness Index
• Tomography, X-Ray Computed