Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-18052
Walther, T; Dewey, T; Borger, M A; Kempfert, J; Linke, A; Becht, R; Falk, V; Schuler, G; Mohr, F W; Mack, M (2009). Transapical aortic valve implantation: step by step. Annals of Thoracic Surgery, 87(1):276-283.
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PURPOSE: Transapical aortic valve implantation is a new minimally invasive technique for beating heart, off-pump, aortic valve implantation in high-risk patients. DESCRIPTION: The procedure involves antegrade aortic valve implantation using an oversizing technique with direct access and accurate positioning of a stent-based transcatheter xenograft. Procedural steps include placement of femoral arterial and venous access wires, anterolateral mini-thoracotomy, epicardial pacing, and apical pursestring suture placement. Valve positioning is performed under fluoroscopic and echocardiographic guidance during rapid ventricular pacing. EVALUATION: Patient screening, especially regarding native aortic annulus diameter and pattern of calcification, is essential for success. Since imaging is crucial, implantations are optimally performed in a hybrid operative theater by an experienced team of cardiac surgeons, cardiologists, and anesthetists. CONCLUSIONS: The aim of this article is to outline the technical aspects of the new technique of minimally invasive transapical aortic valve implantation.
|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery|
|DDC:||610 Medicine & health|
|Deposited On:||01 Apr 2009 20:52|
|Last Modified:||27 Nov 2013 20:42|
|Citations:||Web of Science®. Times cited: 149|
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