Journal of Cardiothoracic and Vascular Anesthesia
Volume 23, Issue 3 , Pages 286-291 , June 2009

Anesthesia Management for Transapical Transcatheter Aortic Valve Implantation: A Case Series

  • Jens Fassl, MD

      Affiliations

    • Department of Anesthesiology and Intensive Care II, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Thomas Walther, MD, PhD

      Affiliations

    • Department of Cardiac Surgery, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Heinrich Volker Groesdonk, MD

      Affiliations

    • Department of Anesthesiology and Intensive Care II, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Joerg Kempfert, MD

      Affiliations

    • Department of Cardiac Surgery, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Michael Andrew Borger, MD, PhD

      Affiliations

    • Department of Cardiac Surgery, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Markus Scholz, PhD

      Affiliations

    • Insitute of Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany
    • ,
  • Chirojit Mukherjee, MD

      Affiliations

    • Department of Anesthesiology and Intensive Care II, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Axel Linke, MD

      Affiliations

    • Department of Cardiology, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Gerhard Schuler, MD, PhD

      Affiliations

    • Department of Cardiology, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Friedrich Wilhelm Mohr, MD, PhD

      Affiliations

    • Department of Cardiac Surgery, University of Leipzig, Heart Center, Leipzig, Germany
    • ,
  • Joerg Ender, MD

      Affiliations

    • Department of Anesthesiology and Intensive Care II, University of Leipzig, Heart Center, Leipzig, Germany
    • Corresponding Author InformationAddress reprint requests to Joerg Ender, MD, Department of Anesthesiology and Intensive Care II, University of Leipzig, Leipzig Heart Center, Struempellstrasse 39, 04289 Leipzig, Germany

References 

  1. Gummert JF, Funkat A, Beckmann A, et al. Cardiac surgery in Germany during 2005: A report on behalf of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg. 2006;54:362–371
  2. Lung B, Baron G, Butchart EG, et al. A prospective survey of patients with valvular heart disease in Europe: The Euro Heart survey of patients with valvular heart disease. Eur Heart J. 2003;24:1231–1243
  3. Walther T, Falk V, Borger MA, et al. Minimally invasive transapical beating heart aortic valve implantation—Proof of concept. Eur J Cardiothorac Surg. 2007;31:9–15
  4. Dewey T, Walther T, Doss M, et al. Transapical aortic valve implantation: An animal feasibility study. Ann Thorac Surg. 2006;82:110–116
  5. Walther T, Dewey T, Wimmer-Greinecker G, et al. Transapical approach for sutureless stent-fixed aortic valve implantation: Experimental results. Eur J Cardiothorac Surg. 2006;29:703–708
  6. Walther T, Falk V, Kempfert J, et al. Transapical minimally invasive aortic valve implantation: The initial 50 patients. Eur J Cardiothorac Surg. 2008;33:983–988
  7. Walther T, Kempfert J, Borger MA, et al. Human minimally invasive off-pump valve-in-a-valve implantation. Ann Thorac Surg. 2008;85:1072–1073
  8. Vahanian A, Alfieri O, Al-Attar N, et al. Transcatheter valve implantation for patients with aortic stenosis: A position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneuos Cardiovascular Interventions (EAPCI). Eur J Cardiothorac Surg. 2008;34:1–8
  9. Walther T, Simon P, Dewey T, et al. Transapical minimally invasive aortic valve implantation: A multicenter experience. Circulation. 2007;116:I240–I245
  10. Webb JG, Chandavimol M, Thompson CR, et al. Percutaneous aortic valve implantation retrograde from the femoral artery. Circulation. 2006;113:842–850
  11. Ree RM, Bowering JB, Schwarz SKW. Case series: Anesthesia for retrograde percutaneous aortic valve replacement—Experience with the first 40 patients. Can J Anesth. 2008;55:761–768
  12. Cheung A, Ree R. Transcatheter aortic valve replacement. Anesthesiol Clin. 2008;26:465–479
  13. Ender J, Borger MA, Scholz M, et al. Cardiac surgery fast-track treatment in a postanesthetic care unit: Six month results of the Leipzig Fast-Track Concept. Anesthesiology. 2008;109:61–66
  14. Kempfert J, Walther T, Borger MA, et al. Minimally invasive off-pump aortic valve implantation: The surgical safety net. Ann Thorac Surg. 2008;86:1665–1668
  15. Shanewise JS, Cheung AT, Aronson S, et al. ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Echocardiography Examination: Recommendations of the American Society of echocardiography Council for intraoperative Echocardiography and the Society of cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. J Am Soc Echocardiogr. 1999;12:884–898
  16. Borger MA, Ivanov J, Armstrong S, et al. Twenty-year results of the Hancock II bioprosthesis. J Heart Valve Dis. 2006;15:49–55
  17. Myken PS. Seventeen-year experience with the St. Jude Medical Biocor porcine bioprosthesis. J Heart Valve Dis. 2005;14:486–492
  18. Walther T, Rastan A, Falk V, et al. Patient prosthesis mismatch affects short- and long-term outcome after aortic valve replacement. Eur J Cardiothorac Surg. 2006;30:15–19
  19. Nienaber CA, Kische S, Rehders TC, et al. Rapid pacing for better placing: Comparison of techniques for precise deployment of endografts in the thoracic aorta. J Endovasc Ther. 2007;14:506–512
  20. Dittrich S, Gloeckler M, Arnold R, et al. Hybrid pulmonary valve implantation: Injection of a self-expanding tissue valve through the main pulmonary artery. Ann Thorac Surg. 2008;85:632–634
  21. Moon MC, Dowdall JF, Roselli EE. The use of right ventricular pacing to facilitate stent graft deployment in the distal aortic arch (A case report). J Vasc Surg. 2008;47:629–631
  22. Webb JG, Pasupati S, Achtem L, et al. Rapid pacing to facilitate transcatheter prosthetic heart valve implantation. Catheter Cardiovasc Interv. 2006;68:199–204
  23. Hemmerling TM, Lê N, Olivier JF, et al. Immediate extubation after aortic valve surgery using high thoracic epidural analgesia or opioid-based analgesia. J Cardiothorac Vasc Anesth. 2005;19:176–181

PII: S1053-0770(08)00419-9

doi: 10.1053/j.jvca.2008.12.026

Journal of Cardiothoracic and Vascular Anesthesia
Volume 23, Issue 3 , Pages 286-291 , June 2009

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