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Thorac Cardiovasc Surg 2015; 63(06): 504-507
DOI: 10.1055/s-0035-1546298
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Georg Thieme Verlag KG Stuttgart · New York

Rapid Deployment Valve Implantation using the EDWARDS Intuity Valve System: A Word of Caution regarding Sizing in Calcified Sinotubular Junctions

Thorsten C. Wahlers
1   Department of Cardiothoracic Surgery, Heart Center University Hospital Cologne, Cologne, Germany
,
Parwis B. Rahmanian
1   Department of Cardiothoracic Surgery, Heart Center University Hospital Cologne, Cologne, Germany
› Author Affiliations
Further Information

Publication History

14 October 2014

31 December 2014

Publication Date:
10 March 2015 (online)

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Abstract

In aortic valve replacement, severe calcification of the sinotubular junction is a limitation in the application of the rapid deployment Edwards Intuity valve system. This is illustrated by a case presentation in which discrepancies of shape and diameter between sizer and valve mounted on the deployment system resulted in discarding the prosthesis and performing a biocomposite root replacement instead. Modification of the valve sizer will allow for safer sizing because the sizing process will mimic the implantation process more accurately.

Keywords

rapid deployment aortic valve replacement - calcified sinotubular junction - aortic root replacement
 

  • References

  • 1 Brown JM, O'Brien SM, Wu C, Sikora JA, Griffith BP, Gammie JS. Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database. J Thorac Cardiovasc Surg 2009; 137 (1) 82-90
    CrossrefPubMedGoogle Scholar
  • 2 Folliguet TA, Laborde F, Zannis K, Ghorayeb G, Haverich A, Shrestha M. Sutureless perceval aortic valve replacement: results of two European centers. Ann Thorac Surg 2012; 93 (5) 1483-1488
    CrossrefPubMedGoogle Scholar
  • 3 Kocher AA, Laufer G, Haverich A , et al. One-year outcomes of the Surgical Treatment of Aortic Stenosis with a Next Generation Surgical Aortic Valve (TRITON) trial: a prospective multicenter study of rapid-deployment aortic valve replacement with the EDWARDS INTUITY Valve System. J Thorac Cardiovasc Surg 2013; 145 (1) 110-115 , discussion 115–116
    CrossrefPubMedGoogle Scholar
  • 4 Borger MA, Dohmen P, Misfeld M, Mohr FW. Current trends in aortic valve replacement: development of the rapid deployment EDWARDS INTUITY valve system. Expert Rev Med Devices 2013; 10 (4) 461-470
    CrossrefPubMedGoogle Scholar
  • 5 Leon MB, Smith CR, Mack M , et al; PARTNER Trial Investigators. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med 2010; 363 (17) 1597-1607
    CrossrefPubMedGoogle Scholar
  • 6 Bakir I, Casselman FP, Wellens F , et al. Minimally invasive versus standard approach aortic valve replacement: a study in 506 patients. Ann Thorac Surg 2006; 81 (5) 1599-1604
    CrossrefPubMedGoogle Scholar
  • 7 Bartels C, Leyh RG, Matthias Bechtel JF, Joubert-Hübner E, Sievers HH. Discrepancies between sizer and valve dimensions: implications for small aortic root. Ann Thorac Surg 1998; 65 (6) 1631-1633
    CrossrefPubMedGoogle Scholar