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Carotid TAVR in a patient with pure aortic regurgitation and previous surgery for aortic dissection
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Shooting date : 2019-02-04 Last update : 2020-03-04
Language(s) : English
70 year-old female
Previous surgery : Aortic dissection in 2005 (supra coronary replacement with a tu...
70 year-old female
Previous surgery : Aortic dissection in 2005 (supra coronary replacement with a tube of 30mm)
NYHA III Dyspnea with 3 episodes of acute pulmonary oedema
TTE: LEF 60%, severe AI with cusp prolaps, LV dilatation and secondary MI grade II and TI grade II
Left heart cath: Normal
EuroSCORE I 20,6%; II 6,19%, high risk surgery
Heart TEAM: off- label TAVR followed by Mitraclip in a second step if needed
Description of procedure
Main arterial acces: Left commun carotid (the only non dissected artery)
Pigtail from the right arterial artery
Aortic surface 3,4cm² and perimeter 6,7cm
Corevalve Pro 26mm with deployement on rapid pacing and TEE guidance
Strategy & approach
Discussion in Heart Team and patient jugged at high risk for redo surgery. Endovascular treatment of aortic insufficiency
Corevalve Pro 26mm
Not applied in this case
Surgeons: Dr Fabre, Dr Hysi
Cardiologist: Dr Pécheux, Dr Hannebicque
Anesthesiologist: Dr Rebet
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