title: Transapical valve implantation after David operation and stenting of the descending aorta.
abstract: This case report illustrates our experience with transapical minimally invasive aortic valve implantation in a patient with an extended aneurysm of the thoracoabdominal aorta, who had previously undergone a replacement of the ascending aorta with concomitant aortic valve reconstruction (David procedure). Endovascular stent grafting of the descending aorta was also performed. The implantation of a 23-mm SAPIEN valve (Edwards Lifesciences, Irvine, CA) did not interfere with the existing 26-mm aortic Hemashield prosthesis (Boston Scientific, Natick, MA) or the previously implanted endograft in the descending aortic position. No paravalvular leakage with aortic valve regurgitation, prosthesis instability, or coronary malperfusion was seen after valve implementation.
authors.affiliation: Department of Cardiothoracic Surgery, Cologne Heart Center, University of Cologne, Cologne, Germany. peter-lukas.haldenwang@uk-koeln.de
authors.forename: Peter L
authors.initials: PL
authors.lastname: Haldenwang
authors.forename: Justus T
authors.initials: JT
authors.lastname: Strauch
authors.forename: Uta
authors.initials: U
authors.lastname: Hoppe
authors.forename: Jochen
authors.initials: J
authors.lastname: Müller-Ehmsen
authors.forename: Michael
authors.initials: M
authors.lastname: Gawenda
authors.forename: Thorsten
authors.initials: T
authors.lastname: Wahlers
mesh_terms: D000368:Aged; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D014057:Tomography, X-Ray Computed