Outcomes of Surgical Aortic Valve Replacement After Transcatheter Aortic Valve Implantation. 2022

Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
Division of Cardiac Surgery, University of Pittsburgh Medical Center, Pittsburgh.

Few studies have reported their experience in explantation of a transcatheter heart valve. We found 2,100 patients who underwent transcatheter aortic valve implantation (TAVI) from 2013 through 2021. Of 2,100, a total of 17 patients underwent surgical aortic valve replacement after TAVI, including surgical bailout. The mean age was 78.3 years. Co-morbidities were very frequent, including coronary artery disease (70.6%), atrial fibrillation (52.9%), cerebrovascular disease (47.1%), and pulmonary hypertension (41.2%). A history of cardiac surgery was observed in 6 patients (35.3%). The mean predicted risk of mortality at the time of TAVI was 7.7%. Surgical bailout was the most common indication of valve explantation (n = 8, 47.1%), followed by infective endocarditis (n = 4, 23.5%) and paravalvular leak (n = 2, 11.8%). The valve-in-valve TAVI was not feasible because of endocarditis, paravalvular leak, and history of valve-in-valve TAVI. Overall, 13 (76.5%) were performed urgently or emergently, and 10 (58.9%) required aortic root reconstruction. The mean cardiopulmonary bypass time was 158.5 minutes. In-hospital mortality was 41.2%. Transcatheter heart valve explantation continues to be rare; however, these data will continue to be informative as TAVI explantations will become more common with time.

UI MeSH Term Description Entries
D004696 Endocarditis Inflammation of the inner lining of the heart (ENDOCARDIUM), the continuous membrane lining the four chambers and HEART VALVES. It is often caused by microorganisms including bacteria, viruses, fungi, and rickettsiae. Left untreated, endocarditis can damage heart valves and become life-threatening. Infective Endocarditis,Endocarditides,Endocarditides, Infective,Endocarditis, Infective,Infective Endocarditides
D006350 Heart Valve Prosthesis A device that substitutes for a heart valve. It may be composed of biological material (BIOPROSTHESIS) and/or synthetic material. Prosthesis, Heart Valve,Cardiac Valve Prosthesis,Cardiac Valve Prostheses,Heart Valve Prostheses,Prostheses, Cardiac Valve,Prostheses, Heart Valve,Prosthesis, Cardiac Valve,Valve Prostheses, Cardiac,Valve Prostheses, Heart,Valve Prosthesis, Cardiac,Valve Prosthesis, Heart
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001021 Aortic Valve The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle. Aortic Valves,Valve, Aortic,Valves, Aortic
D001024 Aortic Valve Stenosis A pathological constriction that can occur above (supravalvular stenosis), below (subvalvular stenosis), or at the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA. Aortic Stenosis,Aortic Valve Stenoses,Stenoses, Aortic,Stenoses, Aortic Valve,Stenosis, Aortic,Stenosis, Aortic Valve,Valve Stenoses, Aortic,Valve Stenosis, Aortic
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D019918 Heart Valve Prosthesis Implantation Surgical insertion of synthetic material to repair injured or diseased heart valves. Implantation, Heart Valve Prosthesis
D065467 Transcatheter Aortic Valve Replacement Surgical treatment for severe AORTIC VALVE STENOSIS. Transcatheter aortic valve replacement (TAVR) is used as an alternative option in patients who are deemed at high risk or inoperable for traditional open-heart surgery. Transcatheter Aortic Valve Implantation

Related Publications

Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
November 2022, Asian cardiovascular & thoracic annals,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
March 2014, The Annals of thoracic surgery,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
April 2017, Annals of internal medicine,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
April 2017, Annals of internal medicine,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
April 2017, Annals of internal medicine,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
October 2020, Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
April 2015, The Annals of thoracic surgery,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
October 2012, Journal of cardiovascular electrophysiology,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
January 2012, The Annals of thoracic surgery,
Takuya Ogami, and Jacqueline Ridgley, and Derek Serna-Gallegos, and Dustin E Kliner, and Catalin Toma, and Saurabh Sanon, and James A Brown, and Sarah Yousef, and Ibrahim Sultan
November 2022, The American journal of cardiology,
Copied contents to your clipboard!