title: The first successful transapical aortic valve implant in Korea.
abstract: Transcatheter aortic valve implantation is an alternative to open heart surgery in high risk patients with severe aortic stenosis. High mortality and complications related to cardiopulmonary bypass for conventional open heart surgery can be avoided with this new less invasive technique. In case of concomitant severe arterial disease, the transapical approach is recommended rather than transfemoral access. An 80-yr-old man with symptomatic aortic stenosis and who had very high surgical risk factors such as diabetes mellitus, hypertension, a history of stroke, bronchial asthma including poor pulmonary function and hepatocellular carcinoma was treated with a transapical aortic valve replacement. The expected mortality in this patient was 25.4% by Euroscore if we performed the conventional aortic valve surgery. The patient was discharged and was well at the 45 follow-up days. We report the first case of successful transcatheter transapical aortic valve implantation which is available recently in Korea.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, Korea.
authors.forename: Dong Seop
authors.initials: DS
authors.lastname: Jeong
authors.forename: Pyo Won
authors.initials: PW
authors.lastname: Park
authors.forename: Min Suk
authors.initials: MS
authors.lastname: Choi
authors.forename: Kiick
authors.initials: K
authors.lastname: Sung
authors.forename: Wook Sung
authors.initials: WS
authors.lastname: Kim
authors.forename: Young Tak
authors.initials: YT
authors.lastname: Lee
authors.forename: Hyeon-Cheol
authors.initials: HC
authors.lastname: Gwon
authors.forename: Seung Hyuk
authors.initials: SH
authors.lastname: Choi
authors.forename: Sung-Ji
authors.initials: SJ
authors.lastname: Park
authors.forename: Sang Min Maria
authors.initials: SM
authors.lastname: Lee
mesh_terms: D000369:Aged, 80 and over; D000768:Anesthesia, General; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery / Q000637:transplantation*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002407:Catheterization, Swan-Ganz; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D056910:Republic of Korea; D012307:Risk Factors; D012720:Severity of Illness Index