| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2007;31:9-15. doi:10.1016/j.ejcts.2006.10.034
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved
a Department of Cardiac Surgery, Heartcenter, University Leipzig, Leipzig, Germany
b Department of Cardiac Surgery, Cardiopulmonary Research Science and Technology Institute, Dallas, TX, USA
c Department of Thoracic and Cardiovascular Surgery, JW-Goethe University, Frankfurt, Germany
d Department of Cardiology, Heartcenter, University Leipzig, Leipzig, Germany
Received 13 October 2006; received in revised form 29 October 2006; accepted 30 October 2006.
* Corresponding author. Address: Universität Leipzig, Herzzentrum, Klinik für Herzchirurgie, Strümpellstr. 39, 04289 Leipzig, Germany. Tel.: +49 341 865 1424; fax: +49 341 865 1452. (Email: walt{at}medizin.uni-leipzig.de).
Objective: To evaluate the feasibility of minimally invasive transapical beating heart aortic valve implantation (TAP-AVI) for high-risk patients with aortic stenosis. Methods: TAP-AVI was performed via a small anterolateral minithoracotomy with or without femoral extracorporeal circulation (ECC) on the beating heart. A pericardial xenograft fixed within a stainless steel, balloon expandable stent (Cribier-Edwards, Edwards Lifesciences, Irvine, CA, USA) was used. Thirty consecutive patients (82 ± 5.1 years, 21 (70%) female) were operated from 02/06 until 09/06 at one center using fluoroscopic and echocardiographic visualization. Average EuroSCORE predicted risk for mortality was 27 ± 12%. Results: Valve positioning was successful in 29 patients and one required early conversion to full sternotomy. Implantation (8 mm x 23 mm and 22 mm x 26 mm valves) was performed on the beating heart during brief periods of rapid ventricular pacing. ECC was applied in 13 patients. Neither coronary artery obstruction nor migration of the prosthesis was observed and all valves displayed good hemodynamic function. Echocardiography revealed minor paravalvular leakage in 14 patients (trace in three, mild in nine and moderate in two). Three patients (10%) died, one on postoperative day (POD) three secondary to preoperative global myocardial failure and two on POD 18 and 86 due to abdominal complications. Conclusions: Minimally invasive beating heart TAP-AVI is feasible. Initial results are encouraging in view of the high-risk profile of the patients. Long-term studies as well as randomized protocols are required.
Key Words: Aortic valve replacement • Transapical aortic valve implantation • Minimally invasive cardiac surgery • Beating heart cardiac surgery • Transcatheter valve implantation
This article has been cited by other articles:
|
|
 |
|
  F. De Robertis, A. Asgar, S. Davies, N. Delahunty, A. Kelleher, R. Trimlett, M. Mullen, and N. Moat The left axillary artery -- a new approach for transcatheter aortic valve implantation Eur. J. Cardiothorac. Surg., November 1, 2009; 36(5): 807 - 812. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Thielmann, D. Wendt, H. Eggebrecht, P. Kahlert, P. Massoudy, M. Kamler, R. Erbel, H. Jakob, and S. Sack Transcatheter aortic valve implantation in patients with very high risk for conventional aortic valve replacement. Ann. Thorac. Surg., November 1, 2009; 88(5): 1468 - 1474. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Zierer, G. Wimmer-Greinecker, S. Martens, A. Moritz, and M. Doss Is transapical aortic valve implantation really less invasive than minimally invasive aortic valve replacement? J. Thorac. Cardiovasc. Surg., November 1, 2009; 138(5): 1067 - 1072. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Mukherjee, T. Walther, M. A. Borger, J. Kempfert, G. Schuler, F. W. Mohr, and J. Ender Awake transapical aortic valve implantation using thoracic epidural anesthesia. Ann. Thorac. Surg., September 1, 2009; 88(3): 992 - 994. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-B. Masson, J. Kovac, G. Schuler, J. Ye, A. Cheung, S. Kapadia, M. E. Tuzcu, S. Kodali, M. B. Leon, and J. G. Webb Transcatheter Aortic Valve Implantation: Review of the Nature, Management, and Avoidance of Procedural Complications J. Am. Coll. Cardiol. Intv., September 1, 2009; 2(9): 811 - 820. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Detaint, L. Lepage, D. Himbert, E. Brochet, D. Messika-Zeitoun, B. Iung, and A. Vahanian Determinants of Significant Paravalvular Regurgitation After Transcatheter Aortic Valve Implantation: Impact of Device and Annulus Discongruence J. Am. Coll. Cardiol. Intv., September 1, 2009; 2(9): 821 - 827. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Wendt, B. R. Osswald, K. Kayser, M. Thielmann, P. Tossios, P. Massoudy, M. Kamler, and H. Jakob Society of Thoracic Surgeons score is superior to the EuroSCORE determining mortality in high risk patients undergoing isolated aortic valve replacement. Ann. Thorac. Surg., August 1, 2009; 88(2): 468 - 474. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Walther, V. Falk, M. A. Borger, J. Kempfert, J. Ender, A. Linke, G. Schuler, and F. W. Mohr Transapical aortic valve implantation in patients requiring redo surgery Eur. J. Cardiothorac. Surg., August 1, 2009; 36(2): 231 - 235. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Himbert, F. Descoutures, N. Al-Attar, B. Iung, G. Ducrocq, D. Detaint, E. Brochet, D. Messika-Zeitoun, F. Francis, H. Ibrahim, et al. Results of transfemoral or transapical aortic valve implantation following a uniform assessment in high-risk patients with aortic stenosis. J. Am. Coll. Cardiol., July 21, 2009; 54(4): 303 - 311. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. K. von Segesser Post-cardiac surgery arrest: what to do in the ICU (intensive care unit) Eur. J. Cardiothorac. Surg., July 1, 2009; 36(1): 1 - 2. [Full Text] [PDF]
|
|
|
|
 |
|
 F. Aregger, P. Wenaweser, G. J. Hellige, A. Kadner, T. Carrel, S. Windecker, and F. J. Frey Risk of acute kidney injury in patients with severe aortic valve stenosis undergoing transcatheter valve replacement Nephrol. Dial. Transplant., July 1, 2009; 24(7): 2175 - 2179. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Kempfert, J. Blumenstein, M. W.A. Chu, P. Pritzwald-Stegmann, T. Kobilke, V. Falk, F. W. Mohr, and T. Walther Minimally invasive off-pump valve-in-a-ring implantation: the atrial transcatheter approach for re-operative mitral valve replacement after failed repair Eur. J. Cardiothorac. Surg., June 1, 2009; 35(6): 965 - 969. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Al-Attar, D. Himbert, F. Descoutures, B. Iung, R. Raffoul, D. Messika-Zeitoun, E. Brochet, F. Francis, H. Ibrahim, A. Vahanian, et al. Transcatheter Aortic Valve Implantation: Selection Strategy Is Crucial for Outcome. Ann. Thorac. Surg., June 1, 2009; 87(6): 1757 - 1763. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K.-E. Klaaborg, H. Egeblad, C.-J. Jakobsen, K. Terp, C. Lindskov, H. R. Andersen, and L. Thuesen Transapical Transcatheter Treatment of a Stenosed Aortic Valve Bioprosthesis Using the Edwards SAPIEN Transcatheter Heart Valve. Ann. Thorac. Surg., June 1, 2009; 87(6): 1943 - 1946. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Wendt, H. Eggebrecht, P. Kahlert, and M. Thielmann Successful transapical aortic valve implantation four weeks before 97th birthday Interactive CardioVascular and Thoracic Surgery, June 1, 2009; 8(6): 684 - 686. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. T. Billings IV, S. K. Kodali, and J. S. Shanewise Transcatheter Aortic Valve Implantation: Anesthetic Considerations Anesth. Analg., May 1, 2009; 108(5): 1453 - 1462. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Wendt, W. Muller, F. Hauck, M. Thielmann, H. Wendt, B. Kipfmuller, B. Vogel, and H. Jakob In vitro results of a new minimally invasive aortic valve resecting tool Eur. J. Cardiothorac. Surg., April 1, 2009; 35(4): 622 - 627. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Falk, E. E. Schwammenthal, J. Kempfert, A. Linke, G. Schuler, F. W. Mohr, and T. Walther New anatomically oriented transapical aortic valve implantation. Ann. Thorac. Surg., March 1, 2009; 87(3): 925 - 926. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. E. McRae, M. Rodger, and B. A. Bailey Transcatheter and Transapical Aortic Valve Replacement Crit. Care Nurse, February 1, 2009; 29(1): 22 - 36. [Full Text] [PDF]
|
|
|
|
|
|
T. Walther, T. Dewey, M. A. Borger, J. Kempfert, A. Linke, R. Becht, V. Falk, G. Schuler, F. W. Mohr, and M. Mack Transapical Aortic Valve Implantation: Step by Step Ann. Thorac. Surg., January 1, 2009; 87(1): 276 - 283. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Walther, J. Kempfert, M. A. Borger, and M. Dehdashtian Reply Ann. Thorac. Surg., January 1, 2009; 87(1): 347 - 348. [Full Text] [PDF]
|
|
|
|
 |
|
 D. Chin Echocardiography for transcatheter aortic valve implantation Eur J Echocardiogr, January 1, 2009; 10(1): i21 - i29. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. M. SINGH, E. M. TUZCU, M. H. SHISHEHBOR, S. R. KAPADIA, and R. D. CHRISTOFFERSON Percutaneous treatment of aortic valve stenosis Cleveland Clinic Journal of Medicine, November 1, 2008; 75(11): 805 - 812. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Kempfert, T. Walther, M. A. Borger, S. Lehmann, J. Blumenstein, J. Fassl, G. Schuler, and F.-W. Mohr Minimally Invasive Off-Pump Aortic Valve Implantation: The Surgical Safety Net Ann. Thorac. Surg., November 1, 2008; 86(5): 1665 - 1668. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Kempfert, J. M. Blumenstein, M. A. Borger, A. Linke, S. Lehmann, P. Pritzwald-Stegmann, M. W.A. Chu, G. Schuler, V. Falk, F. W. Mohr, et al. Minimally invasive off-pump valve-in-a-valve implantation: the atrial transcatheter approach for re-operative mitral valve replacement Eur. Heart J., October 1, 2008; 29(19): 2382 - 2387. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. C. Babaliaros, D. Liff, E. P. Chen, J. H. Rogers, R. A. Brown, V. H. Thourani, R. A. Guyton, S. Lerakis, A. E. Stillman, P. Raggi, et al. Can Balloon Aortic Valvuloplasty Help Determine Appropriate Transcatheter Aortic Valve Size? J. Am. Coll. Cardiol. Intv., October 1, 2008; 1(5): 580 - 586. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Brown, H. V. Schaff, M. E. Sarano, Z. Li, T. M. Sundt, J. A. Dearani, C. J. Mullany, and T. A. Orszulak Is the European System for Cardiac Operative Risk Evaluation model valid for estimating the operative risk of patients considered for percutaneous aortic valve replacement? J. Thorac. Cardiovasc. Surg., September 1, 2008; 136(3): 566 - 571. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. T.L. Chiam and C. E. Ruiz Percutaneous Transcatheter Aortic Valve Implantation: Assessing Results, Judging Outcomes, and Planning Trials: The Interventionalist Perspective J. Am. Coll. Cardiol. Intv., August 1, 2008; 1(4): 341 - 350. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Vahanian, O. R. Alfieri, N. Al-Attar, M. J. Antunes, J. Bax, B. Cormier, A. Cribier, P. De Jaegere, G. Fournial, A. P. Kappetein, et al. Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur. J. Cardiothorac. Surg., July 1, 2008; 34(1): 1 - 8. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Walther, V. Falk, J. Kempfert, M. A. Borger, J. Fassl, M. W.A. Chu, G. Schuler, and F. W. Mohr Transapical minimally invasive aortic valve implantation; the initial 50 patients Eur. J. Cardiothorac. Surg., June 1, 2008; 33(6): 983 - 988. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Descoutures, D. Himbert, L. Lepage, B. Iung, D. Detaint, D. Tchetche, E. Brochet, Y. Castier, J.-P. Depoix, P. Nataf, et al. Contemporary surgical or percutaneous management of severe aortic stenosis in the elderly Eur. Heart J., June 1, 2008; 29(11): 1410 - 1417. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Vahanian, O. Alfieri, N. Al-Attar, M. Antunes, J. Bax, B. Cormier, A. Cribier, P. De Jaegere, G. Fournial, A. P. Kappetein, et al. Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Eur. Heart J., June 1, 2008; 29(11): 1463 - 1470. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Quaden, T. Attmann, M. Schunke, D. Theisen-Kunde, J. Cremer, and G. Lutter Percutaneous aortic valve replacement: Endovascular resection of human aortic valves in situ. J. Thorac. Cardiovasc. Surg., May 1, 2008; 135(5): 1081 - 1086. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Iung Management of the elderly patient with aortic stenosis Heart, April 1, 2008; 94(4): 519 - 524. [Full Text] [PDF]
|
|
|
|
|
|
J. G. Webb Percutaneous Aortic Valve Replacement Will Become a Common Treatment for Aortic Valve Disease J. Am. Coll. Cardiol. Intv., April 1, 2008; 1(2): 122 - 126. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. V. Vasilyev, I. Melnychenko, K. Kitahori, F. P. Freudenthal, A. Phillips, R. Kozlik-Feldmann, I. S. Salgo, P. J. del Nido, and E. A. Bacha Beating-heart patch closure of muscular ventricular septal defects under real-time three-dimensional echocardiographic guidance: A preclinical study J. Thorac. Cardiovasc. Surg., March 1, 2008; 135(3): 603 - 609. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Walther, J. Kempfert, M. A. Borger, J. Fassl, V. Falk, J. Blumenstein, M. Dehdashtian, G. Schuler, and F. W. Mohr Human Minimally Invasive Off-Pump Valve-in-a-Valve Implantation Ann. Thorac. Surg., March 1, 2008; 85(3): 1072 - 1073. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Zegdi, V. Ciobotaru, M. Noghin, G. Sleilaty, A. Lafont, C. Latremouille, A. Deloche, and J.-N. Fabiani Is it reasonable to treat all calcified stenotic aortic valves with a valved stent? Results from a human anatomic study in adults. J. Am. Coll. Cardiol., February 5, 2008; 51(5): 579 - 584. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. K. von Segesser Impact Factor 2.106 reached by the European Journal of Cardio-thoracic Surgery on its 20th anniversary in 2007 Eur. J. Cardiothorac. Surg., February 1, 2008; 33(2): 141 - 142. [Full Text] [PDF]
|
|
|
|
 |
|
 T. Walther, P. Simon, T. Dewey, G. Wimmer-Greinecker, V. Falk, M. T. Kasimir, M. Doss, M. A. Borger, G. Schuler, D. Glogar, et al. Transapical Minimally Invasive Aortic Valve Implantation: Multicenter Experience Circulation, September 11, 2007; 116(11_suppl): I-240 - I-245. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Walther, V. Falk, T. Dewey, J. Kempfert, F. Emrich, B. Pfannmuller, P. Broske, M. A. Borger, G. Schuler, M. Mack, et al. Valve-in-a-Valve Concept for Transcatheter Minimally Invasive Repeat Xenograft Implantation J. Am. Coll. Cardiol., July 3, 2007; 50(1): 56 - 60. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Kalavrouziotis, K. J. Buth, and J.-F. Legare Patient selection for minimally invasive aortic valve implantation Eur. J. Cardiothorac. Surg., July 1, 2007; 32(1): 188 - 188. [Full Text] [PDF]
|
|
|
|
|
|
T. Walther, V. Falk, M. A. Borger, and F. W. Mohr Reply to Kalavrouziotis et al. Eur. J. Cardiothorac. Surg., July 1, 2007; 32(1): 189 - 190. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
