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Eur J Cardiothorac Surg 2009;36:938-940. doi:10.1016/j.ejcts.2009.06.030
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Enrico Ferrari
Ludwig Karl von Segesser
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Case reports

A fully echo-guided trans-apical aortic valve implantation

Enrico Ferraria,*, Christopher Sulzerb, Elena Rizzoc, Ludwig Karl von Segessera

a Department of Cardio-Vascular Surgery, University Hospital of Lausanne (CHUV), 46 Rue du Bugnon, CH-1011 Lausanne, Switzerland
b Department of Cardiac Anaesthesia, University Hospital of Lausanne (CHUV), 46 Rue du Bugnon, CH-1011 Lausanne, Switzerland
c Department of Radiology, University Hospital of Lausanne (CHUV), 46 Rue du Bugnon, CH-1011 Lausanne, Switzerland

Received 28 April 2009; received in revised form 15 June 2009; accepted 18 June 2009.

* Corresponding author. Address: Department of Cardiovascular Surgery, Centre Hôpitalier Universitaire Vaudois (CHUV), 46 Rue du Bugnon, CH-1011 Lausanne, Switzerland. Tel.: +41 79 310 1386; fax: +41 21 314 2278. (Email: enricoferrari{at}bluewin.ch).

The trans-apical aortic valve implantation (TA-AVI) is an established technique for high-risk patients requiring aortic valve replacement. Traditionally, preoperative (computed tomography (CT) scan, coronary angiogram) and intra-operative imaging (fluoroscopy) for stent-valve positioning and implantation require contrast medium injections. To preserve the renal function in elderly patients suffering from chronic renal insufficiency, a fully echo-guided trans-catheter valve implantation seems to be a reasonable alternative. We report the first successful TA-AVI procedure performed solely under trans-oesophageal echocardiogram control, in the absence of contrast medium injections.

Key Words: Echo-guided • Trans-apical aortic valve replacement • Aortic valve stenosis • Renal insufficiency






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Copyright © 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.