Successful Treatment of Pure Aortic Insufficiency with Transapical Implantation of the JenaValve

Abstract

Transcatheter aortic valve implantation was predominantly developed for patients with severe calcified aortic stenosis, as most devices are designed to anchor within the native valve calcium. We report on a patient with pure insufficiency of a non-calcified aortic valve, in whom an anatomically oriented catheter valve was implanted successfully. The design of the prosthesis with position feelers engaging the native aortic valve leaflets proved to be suitable for the treatment of pure aortic insufficiency.

Keywords

aortic valve - transcatheter aortic valve implantation - transapical

• References

• 1 Treede H, Mohr F-W, Baldus S , et al. Transapical transcatheter aortic valve implantation using the JenaValve™ system: acute and 30-day results of the multicentre CE-mark study. Eur J Cardiothorac Surg 2012; 41 (6) e131-e138 DOI: 10.1093/ejcts/ezs129.
• 2 Santini F, Forni A, Dandale R , et al. First successful management of aortic valve insufficiency associated with HeartMate II left ventricular assist device support by transfemoral CoreValve implantation: the Columbus's egg?. JACC Cardiovasc Interv 2012; 5 (1) 114-115
• 3 Clavel M-A, Dumont E, Pibarot P , et al. Severe valvular regurgitation and late prosthesis embolization after percutaneous aortic valve implantation. Ann Thorac Surg 2009; 87 (2) 618-621
• 4 Holmes Jr DR, Mack MJ, Kaul S , et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement. J Am Coll Cardiol 2012; 59 (13) 1200-1254