title: Successful transapical aortic valve implantation four weeks before 97th birthday.
abstract: Aortic valve replacement (AVR) is currently the treatment of choice in patients with symptomatic aortic stenosis, but transcatheter off-pump aortic valve implantation is a novel and emerging technique, which might be performed more frequently in the near future and may be a less invasive alternative to conventional AVR in selected high-risk patients. Up to date, the preoperative patient selection is debated and potential candidates for these new techniques are widely discussed. We report a successful transapical aortic valve implantation performed in a 96-year-old woman demonstrating the potential of the novel technique as an alternative treatment option in old and multimorbid patients at high risk for conventional AVR.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, West-German Heart Center Essen, University of Duisburg-Essen, Germany. daniel.wendt@uk-essen.de
authors.forename: Daniel
authors.initials: D
authors.lastname: Wendt
authors.forename: Holger
authors.initials: H
authors.lastname: Eggebrecht
authors.forename: Philipp
authors.initials: P
authors.lastname: Kahlert
authors.forename: Matthias
authors.initials: M
authors.lastname: Thielmann
mesh_terms: D000367:Age Factors; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000295:instrumentation; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D015641:Radiography, Interventional; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome