title: Transcatheter CoreValve implantation for aortic regurgitation in a Jehovah's witness with prior aortic dissection.
abstract: Indications for transcatheter valve implantation have been extended to treat native valve aortic regurgitation in case of disproportionate risk for open surgery. Transcatheter aortic valves are also an attractive alternative in patients who refuse blood transfusions. We report the successful off-label implantation of a self-expandable transcatheter valve in a Jehovah's Witness with prior replacement of the ascending aorta for Type A dissection, residual severe aortic regurgitation and refractory heart failure.
authors.affiliation: MultiMedica Scientific Institute, Sesto San Giovanni, Milan, Italy University of Milan, Milan, Italy marco.pocar@unimi.it.
authors.forename: Marco
authors.initials: M
authors.lastname: Pocar
authors.affiliation: MultiMedica Scientific Institute, Sesto San Giovanni, Milan, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Tavano
authors.affiliation: MultiMedica Scientific Institute, Sesto San Giovanni, Milan, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Passolunghi
authors.affiliation: MultiMedica Scientific Institute, Sesto San Giovanni, Milan, Italy.
authors.forename: Flavio
authors.initials: F
authors.lastname: Airoldi
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D001011:Aorta / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D001803:Blood Transfusion / Q000941:ethics*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D021621:Imaging, Three-Dimensional; D033221:Jehovah's Witnesses; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed
keywords: Great vessels; Minimally invasive surgery; Perioperative issues and risk analysis; Thoracic aorta; Transcatheter valve therapy; Valve disease