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Late Surgical Explantation and Aortic Valve Replacement After Transcatheter Aortic Valve Implantation  Louis W. Wang, MBBS, MM, Emily K. Granger, MBBS,

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Presentation on theme: "Late Surgical Explantation and Aortic Valve Replacement After Transcatheter Aortic Valve Implantation  Louis W. Wang, MBBS, MM, Emily K. Granger, MBBS,"— Presentation transcript:

1 Late Surgical Explantation and Aortic Valve Replacement After Transcatheter Aortic Valve Implantation  Louis W. Wang, MBBS, MM, Emily K. Granger, MBBS, Jennifer A. McCourt, PhD, Roger Pye, MBBS, Jason M. Kaplan, MBBS, David W.M. Muller, MBBS, MD  The Annals of Thoracic Surgery  Volume 99, Issue 4, Pages (April 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) A transverse incision in the aorta was performed to allow access to the CoreValve. (B) The CoreValve has been explanted after careful endarterectomy, revealing a large bar of calcium in the aortic wall (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Explanted CoreValve. Two large calcific nodules, the first below the origin of the left main coronary artery, and the second near the commissure between the left and right coronary cusp were present. (B) Neoendothelialization had occurred in small areas between the prosthesis and the aortic wall at the level of the sinotubular junction, and between the prosthesis and left ventricular endocardium at the level of the left ventricular outflow tract. The integrity of the valve leaflets is intact, with the small opening seen in this picture resulting from surgical manipulation during the extraction. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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