Our Summary

This research paper discusses a new method of replacing heart valves in patients whose thigh artery structure isn’t suitable for traditional methods. The procedure, created by Aegis Surgical in Ireland, involves making a small incision above the breastbone and inserting the replacement valve directly into the aorta or the artery that directs blood to the head and arms.

The procedure is done in a very controlled manner, with the help of a specific type of suture that ensures a secure closure of the artery. It’s important to choose the right patients for this procedure and to use detailed imaging before the operation.

The research found that when a team of heart specialists work together in a hybrid operating room, the procedure is successful. They tried this method with heart valves from four different manufacturers and all were successful.

In conclusion, this new method of replacing heart valves is safe and effective and can be another tool for surgeons to use in treating patients with heart valve issues.

FAQs

  1. What is the purpose of the Suprasternal transcatheter aortic valve replacement?
  2. How does the Transit System enable transcatheter aortic valve replacement?
  3. What are the key factors for the procedural success of Suprasternal transcatheter aortic valve replacement?

Doctor’s Tip

One helpful tip a doctor might tell a patient about aortic valve replacement is to follow all preoperative instructions carefully, including any medications to take or avoid, fasting guidelines, and any other specific preparations. It is important to communicate openly with your healthcare team and ask any questions you may have to ensure a successful procedure and recovery.

Suitable For

Patients who are typically recommended for aortic valve replacement include those with severe aortic stenosis or regurgitation, symptomatic patients with heart failure, patients with reduced left ventricular function, and those who are not candidates for traditional open-heart surgery due to high risk or other medical conditions. Additionally, patients with unsuitable femoral artery anatomy may benefit from suprasternal transcatheter aortic valve replacement as described in the abstract. Proper patient selection and evaluation by a heart team is essential to ensure procedural success and positive outcomes.

Timeline

  • Before aortic valve replacement:
  1. Patient is diagnosed with aortic valve disease, such as aortic stenosis or regurgitation, through symptoms like chest pain, shortness of breath, and fatigue.
  2. Patient undergoes various diagnostic tests, such as echocardiogram and cardiac catheterization, to determine the severity of the valve disease.
  3. After consultation with a heart team, including cardiologists and cardiothoracic surgeons, the decision is made to proceed with aortic valve replacement.
  4. Patient undergoes preoperative evaluations and imaging to assess suitability for the procedure.
  • After aortic valve replacement:
  1. Patient undergoes suprasternal transcatheter aortic valve replacement, where a valve introducer sheath is inserted through a small incision in the suprasternal area, allowing for precise control of the procedure.
  2. The procedure is performed in a hybrid operating room by a collaborative heart team.
  3. Postoperative care includes monitoring for complications, such as bleeding or infection, and rehabilitation to regain strength and function.
  4. Patient undergoes follow-up appointments and imaging to assess the success of the procedure and overall heart health.

What to Ask Your Doctor

  1. Is suprasternal transcatheter aortic valve replacement the best option for me based on my anatomy and medical history?

  2. What are the potential risks and complications associated with this procedure?

  3. How long is the recovery period following suprasternal transcatheter aortic valve replacement?

  4. Will I need to take any medication or make lifestyle changes after the procedure?

  5. How long can I expect the new valve to last?

  6. What follow-up appointments and tests will be necessary after the procedure?

  7. Are there any specific restrictions or precautions I should be aware of after the procedure?

  8. How experienced is the medical team performing the procedure?

  9. What is the success rate of suprasternal transcatheter aortic valve replacement compared to other approaches?

  10. Are there any alternative treatment options that I should consider before proceeding with this procedure?

Reference

Authors: Kiser AC, Caranasos TG, Peterson MD, Buller CE, Borger MA. Journal: Ann Thorac Surg. 2017 Oct;104(4):1417-1422. doi: 10.1016/j.athoracsur.2017.04.032. PMID: 28935306