Thorac Cardiovasc Surg 2015; 63(06): 508-509
DOI: 10.1055/s-0034-1390155
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Georg Thieme Verlag KG Stuttgart · New York

Linear Closure of the Left Ventricular Apex Following Transcatheter-Based Aortic Valve Implantation

Nihat Firat Sipahi
1   Department of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Frankfurt, Germany
,
Nestoras Papadopoulos
1   Department of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Frankfurt, Germany
,
Anton Moritz
1   Department of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Frankfurt, Germany
,
Andreas Zierer
1   Department of Thoracic and Cardiovascular Surgery, Johann-Wolfgang-Goethe University Frankfurt/Main, Frankfurt, Germany
› Author Affiliations
Further Information

Publication History

12 May 2014

15 July 2014

Publication Date:
24 September 2014 (online)

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Abstract

Transcatheter-based aortic valve implantation (TAVI) provides a reliable and attractive alternative to the established gold standard of classic aortic valve replacement in patients with severe comorbidities carrying an unacceptably high perioperative risk. Despite the minimally invasive nature of the transfemoral approach, the transapical route remains an attractive alternative allowing antegrade valve deployment. Purse-string sutures with interrupted Teflon pledgets represent the classic approach for secure closure of the transapical access site. We describe herein a simple yet effective and time-saving linear technique for apical closure following transapical TAVI.