title: [Adult apico-aortic shunts. A case followed for 6 years].
abstract: An apico-aortic shunt enables a reduction in the aortic transvalvular pressure gradient. It is recommended for patients with symptomatic severe stenosis when anatomical constraints contra-indicate valvular replacement. The authors report the case of a patient who underwent this uncommon procedure, which was indicated due to previous coronary bypass surgery using both mammary arteries, plus massive calcification of the ascending aorta. Angio-haemodynamic investigation and MRI performed three years and five years respectively following the procedure confirmed its efficiency. An analysis of the few reported series confirms the value of this special procedure.
authors.affiliation: Département de cardiologie, Centre hospitalier universitaire de la Timone, Marseille. Philippe.PAULE@wanadoo.fr
authors.forename: P
authors.initials: P
authors.lastname: Paule
authors.forename: J
authors.initials: J
authors.lastname: Quilici
authors.forename: T
authors.initials: T
authors.lastname: Cuisset
authors.forename: Y
authors.initials: Y
authors.lastname: Seree
authors.forename: L
authors.initials: L
authors.lastname: Fourcade
authors.forename: F
authors.initials: F
authors.lastname: Collart
authors.forename: T
authors.initials: T
authors.lastname: Mesana
authors.forename: J L
authors.initials: JL
authors.lastname: Bonnet
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002114:Calcinosis; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008279:Magnetic Resonance Imaging; D008297:Male; D013997:Time Factors