title: Percutaneous treatment of a dysfunctional aortic bioprosthesis with the CoreValve(®) prosthesis.
abstract: Recently, percutaneous aortic valve replacement has emerged as a therapeutic option for patients with severe symptomatic aortic stenosis and a high surgical risk. We report our initial experience in four patients with percutaneous implantation of a CoreValve aortic prosthesis to treat aortic bioprosthesis dysfunction involving aortic stenosis or regurgitation. In-hospital and medium-term outcomes were analyzed. The procedure was performed under local anesthesia and guided by angiography. The prosthesis was implanted successfully in all patients, although a second prosthesis was required in one case because the first was positioned too high. There were no major complications. After a mean follow-up of 7 months (SD, 4.7), all patients remained asymptomatic.
authors.affiliation: Servicio de Cardiología, Hospital Universitario Virgen de la Victoria, Málaga, España.
authors.forename: José M
authors.initials: JM
authors.lastname: Hernández-García
authors.forename: Antonio J
authors.initials: AJ
authors.lastname: Muñoz-García
authors.forename: Juan H
authors.initials: JH
authors.lastname: Alonso-Briales
authors.forename: Manuel F
authors.initials: MF
authors.lastname: Jiménez-Navarro
authors.forename: Antonio J
authors.initials: AJ
authors.lastname: Domínguez-Franco
authors.forename: Isabel
authors.initials: I
authors.lastname: Rodríguez-Bailón
authors.forename: Eduardo
authors.initials: E
authors.lastname: Olalla-Mercadé
authors.forename: Eduardo de
authors.initials: Ed
authors.lastname: Teresa-Galván
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D001705:Bioprosthesis; D017023:Coronary Angiography; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation; D025321:Surgery, Computer-Assisted; D016896:Treatment Outcome