Apicoaortic valved conduit with an apical connector for aortic stenosis with a calcified aorta

Hankei Shin, Mitsuharu Mori, Ryo Suzuki, Mikihiko Kudo, Ryohei Yozu

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

We report a case of apicoaortic bypass using an apical connector for severe aortic stenosis. A 74-year-old woman suffered from severe aortic stenosis, with a small aortic annulus and a severely calcified aorta. A valved conduit with an apical connector was placed between the left ventricular apex and the descending thoracic aorta because the risk of aortic valve replacement was high. Use of an apical connector facilitated a secure connection between the conduit and the left ventricular apex. The pressure gradient across the native aortic valve fell from 64 mm Hg before the operation to 19 mm Hg afterward. Apicoaortic bypass using the apical connector is a reliable option for relieving obstruction of the left ventricular outflow tract in the presence of aortic stenosis when aortic valve replacement is a high risk.

Original languageEnglish
Pages (from-to)467-471
Number of pages5
JournalGeneral thoracic and cardiovascular surgery
Volume57
Issue number9
DOIs
Publication statusPublished - 2009 Sep 1

Keywords

  • Aortic stenosis
  • Apical connector
  • Apicoaortic bypass
  • Apicoaortic conduit
  • Calcified aorta

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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