title: Transapical aortic valve implantation following a left pneumonectomy.
abstract: Transapical transcatheter aortic valve implantation is an emerging technique for high-risk patients with symptomatic aortic valve stenosis, peripheral vascular disease, and severe concomitant comorbidities. However, a previous major surgical intervention involving the left hemithorax and the lung has always been considered a technical surgical challenge or even a potential contraindication for this minimally invasive procedure. With this report, we demonstrate, for the first time, that a previous left pneumonectomy followed by mediastinal radiotherapy does not affect the feasibility of transapical transcatheter aortic valve implantation, and we discuss the preoperative workup and the peculiar intraoperative cardiac imaging and surgical assessment.
authors.affiliation: Cardiovascular Surgery Cardiac Anesthesia Radiology Cardiology, University Hospital of Lausanne, CHUV, Lausanne, Switzerland. enricoferrari@bluewin.ch
authors.forename: Enrico
authors.initials: E
authors.lastname: Ferrari
authors.forename: Christopher
authors.initials: C
authors.lastname: Sulzer
authors.forename: Carlo
authors.initials: C
authors.lastname: Marcucci
authors.forename: Salah Dine
authors.initials: SD
authors.lastname: Qanadly
authors.forename: Didier
authors.initials: D
authors.lastname: Locca
authors.forename: Denis
authors.initials: D
authors.lastname: Berdajs
authors.forename: Ludwig Karl
authors.initials: LK
authors.lastname: von Segesser
mesh_terms: D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005471:Fluoroscopy; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000532:radiotherapy / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D016491:Peripheral Vascular Diseases / Q000150:complications; D011013:Pneumonectomy; D012306:Risk; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed