In this series of videos, Dr. Vincent Gaudiani shares his experience in the new field of surgery after previous TAVR and provides his tips for safely performing redo surgery for a variety of indications including TAVR early and late failure, endocarditis, and when further valve surgery is required.
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February 23, 2024
February 14, 2024
A recent study by Jad Malas et al. comparing transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) in patients less than 60 years of age was presented during the 2024 STS Annual Meeting in San Antonio, Texas.
Mastering Redo Surgery after TAVR: Annular Rupture Repair after TAVR and TAVR Explant after CABG with MVR
January 25, 2024
The first video shows a contained rupture of the aortic annulus, which was addressed with removal of the TAVR and a Dacron patch over the rupture. The second video demonstrates a TAVR explantation in a patient who had previously undergone CABG and TAVR, culminating in a mitral valve replacement.
Long-Term Risk of Stroke After Transcatheter Aortic Valve Replacement: Insights from the SwissTAVI Registry
January 17, 2024
Stroke after transcatheter aortic valve implantation (TAVI) is associated with considerably worse postinterventional outcomes. However, predictors of stroke and the long-term risk after TAVI remain unknown.
Preinterventional Frailty Assessment in Patients Scheduled for Cardiac Surgery or Transcatheter Aortic Valve Implantation: A Consensus Statement of EACTS and EAPC
January 11, 2024
Preinterventional frailty assessment is gaining relevance in both cardiac surgery and transcatheter aortic valve implantation (TAVI). Nowadays, frailty assessment is an essential part of the heart team discussions when evaluating patients for cardiac surgery and transcatheter interventions.
January 11, 2024
The first video shows the removal of a Sapiens TAVR, which had become stenotic, and a replacement of a dilated ascending aorta through a mini sternotomy. The second video shows redo valve surgery in a patient who had a surgical AVR then a TAVR in place and required SAVR with left ventricular outflow tract reconstruction after removal of both the TAVR and the previous SAVR.
December 7, 2023
Degenerative aortic valve stenosis is the most frequent valvular heart disease in western countries, and valve replacement is the gold standard for symptomatic severe cases.
November 10, 2023
In this recording from the 2023 Transcatheter Heart Valves Greece conference, Dr. Michael J. Reardon, a cardiothoracic surgeon at Methodist DeBaket Heart and Vascular Center, discusses varying confidence in the shift in TAVI guidelines from operative risk to age.
Survival Following Surgical Aortic Valve Replacement in Low-Risk Patients: A Contemporary Trial Benchmark
October 20, 2023
To create a benchmark for the use of TAVR for aortic stenosis treatment in low-risk patients, this study evaluated outcomes of similar patients undergoing SAVR. The STS database was used to isolate low-risk SAVR patients from 2011–2019.
September 26, 2023
This video demonstrates the authors’ step-by-step method for transaxillary TAVI.