title: Concomitant transcatheter aortic valve and left ventricular assist device implantation.
abstract: Relevant aortic regurgitation (AR) requires surgical repair at the time of left ventricular assist device (LVAD) implantation to reduce recirculation and ensure adequate forward flow. We report here on a patient with moderate AR in a noncalcified aortic valve and extensive calcification of the ascending aorta. The latter precluded aortic-crossclamping and, thus, surgical intervention on the aortic valve. Although there were no valvular or annular calcifications, a JenaValve transcatheter heart valve was successfully placed transapically with subsequent LVAD implantation in one operation. We believe concomitant transcatheter aortic valve implantation (TAVI) and LVAD implantation is a promising hybrid procedure, even in patients with pure AR.
authors.affiliation: University Heart Center Hamburg, 20246 Hamburg, Germany.
authors.forename: Christina
authors.initials: C
authors.lastname: Baum
authors.forename: Moritz
authors.initials: M
authors.lastname: Seiffert
authors.forename: Hendrik
authors.initials: H
authors.lastname: Treede
authors.forename: Hermann
authors.initials: H
authors.lastname: Reichenspurner
authors.forename: Tobias
authors.initials: T
authors.lastname: Deuse
mesh_terms: D000368:Aged; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006333:Heart Failure / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male