Journal of Cardiothoracic Surgery (May 2012)

Aortic valve stenosis after previous coronary bypass: Transcatheter valve implantation or aortic valve replacement?

  • Jegaden Olivier,
  • Lapeze Joel,
  • Farhart Fadi,
  • de Gevigney Guy

DOI
https://doi.org/10.1186/1749-8090-7-47
Journal volume & issue
Vol. 7, no. 1
p. 47

Abstract

Read online

Abstract We report a prospective comparison between transcatheter valve implantation (TAVI, n = 13) and surgical aortic valve replacement (AVR, n = 10) in patients with severe aortic valve stenosis and previous coronary bypass surgery (CABG). All patients had at least bilateral patent internal thoracic arteries bypass without indication of repeat revascularization. After a similar post-procedure outcome, despite one early death in TAVI group, the 1-year survival was 100% in surgical group and in transfemoral TAVI group, and 73% in transapical TAVI group. When previous CABG is the lone surgical risk factor, indications for a TAVI procedure have to be cautious, specially if transfemoral approach is not possible.