Patient-prosthesis mismatch: surgical and transcatheter approaches - LIVE case

Consult this session to discover different surgical and transcatheter approaches:

• Part 1: Bioprosthesis aortic valve stenosis
  A 73-year-old male, with diabetes, BMI 29, atrial fibrillation, history of SAVR 15 years ago (Perimount 27) presents a symptomatic severe surgical valve stenosis with a preserved LV function.
  During the live time (21min) the operators can not cross the valve (AL1,2 then 3-JR- AL1 guide-Pigtail, MP, changing operator and guide wire...)

• Part 2: Surgical enlargement root
  A 73-year-old male with a BMI 31 presents a severe aortic stenosis and a small annulus.
  To avoid a mismatch, the operators performed a surgical root enlargement and implanted an Inspire Valve 25 mm (can be easily enlarged if a future TAVI)

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Key moments

• 03:25 - 05:58 - CT analysis
• 14:48 - 35:00 - Crossing the bioprosthesis valve
• 21:22 - 25:35 - Procedural analysis
• 37:48 - 47:39 - Recorded procedure of a surgical root enlargement.

Keywords: Sentinel, wiring the surgical valve, complication, surgical root enlargement