title: Alternative valve-in-root concepts for redo procedures.
abstract: Since aortic root reoperations are challenging procedures, alternative lower-risk procedures should be considered in certain cases. Herein are presented two different approaches to high-risk root reoperations. The first patient, a 59-year-old male who had undergone root replacement 11 years previously with an Edwards Prima stentless valve, presented with severe aortic regurgitation and a heavily calcified aortic root. An open implantation of an Edwards Sapien valve was performed via an aortotomy distal to the calcified aortic root. The second patient, a 60-year-old female, underwent transapical implantation of an Edwards Sapien transcatheter valve for stenosis of the aortic valve in an aortic homograft implanted 11 years previously. The long-term durability of these implants has yet to be evaluated.
authors: Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria.
authors: Orest
authors: O
authors: Chevtchik
authors: Christina
authors: C
authors: Steger
authors: Nikolaos
authors: N
authors: Bonaros
authors: Ludwig C
authors: LC
authors: Müller
authors: Elfriede
authors: E
authors: Ruttmann
mesh_terms: D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012598:Sclerosis; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous