A modified Park's stitch to correct aortic insufficiency for bioprosthetic valve at time of left ventricular assist device implant: A case report

Toshinobu Kazui, Nicole Sydow, Mark J Friedman, Samuel S Kim, Scott D Lick, Zain I Khalpey

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Aortic valve insufficiency (AI) at the time of left ventricular assist device (LVAD) insertion needs to be corrected, however there is little known about how to manage bioprosthetic valvular AI. Case presentation: A 55-year-old female with dilated cardiomyopathy who previously had a bioprosthetic aortic valve replacement needed a LVAD as a bridge to transplant. Her left ventricular ejection fraction was 10% and had mild to moderate transvalvular AI. She underwent a HeartWare HVAD insertion along with aortic valvular coaptation stitch repair (Park's stitch) to the bioprosthetic valve. Conclusion: Her AI improved to trivial with minimal ejection through the bioprosthetic valve. She was transplanted 6 months following the surgery. A Park's stitch to the bioprosthetic aortic valve with more than mild AI might be a good option for bridge to transplant patient.

Original languageEnglish (US)
Article number161
JournalJournal of Cardiothoracic Surgery
Volume11
Issue number1
DOIs
StatePublished - Nov 30 2016

Fingerprint

Heart-Assist Devices
Aortic Valve Insufficiency
Aortic Valve
Transplants
Dilated Cardiomyopathy
Stroke Volume

Keywords

  • Aortic insufficiency
  • Aortic valve repair
  • Bioprosthetic valve
  • Left ventricular assist device
  • Park's stitch

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

@article{0c041c4974214f1ab32c8f79e96e5c26,
title = "A modified Park's stitch to correct aortic insufficiency for bioprosthetic valve at time of left ventricular assist device implant: A case report",
abstract = "Background: Aortic valve insufficiency (AI) at the time of left ventricular assist device (LVAD) insertion needs to be corrected, however there is little known about how to manage bioprosthetic valvular AI. Case presentation: A 55-year-old female with dilated cardiomyopathy who previously had a bioprosthetic aortic valve replacement needed a LVAD as a bridge to transplant. Her left ventricular ejection fraction was 10{\%} and had mild to moderate transvalvular AI. She underwent a HeartWare HVAD insertion along with aortic valvular coaptation stitch repair (Park's stitch) to the bioprosthetic valve. Conclusion: Her AI improved to trivial with minimal ejection through the bioprosthetic valve. She was transplanted 6 months following the surgery. A Park's stitch to the bioprosthetic aortic valve with more than mild AI might be a good option for bridge to transplant patient.",
keywords = "Aortic insufficiency, Aortic valve repair, Bioprosthetic valve, Left ventricular assist device, Park's stitch",
author = "Toshinobu Kazui and Nicole Sydow and Friedman, {Mark J} and Kim, {Samuel S} and Lick, {Scott D} and Khalpey, {Zain I}",
year = "2016",
month = "11",
day = "30",
doi = "10.1186/s13019-016-0555-3",
language = "English (US)",
volume = "11",
journal = "Journal of Cardiothoracic Surgery",
issn = "1749-8090",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - A modified Park's stitch to correct aortic insufficiency for bioprosthetic valve at time of left ventricular assist device implant

T2 - A case report

AU - Kazui, Toshinobu

AU - Sydow, Nicole

AU - Friedman, Mark J

AU - Kim, Samuel S

AU - Lick, Scott D

AU - Khalpey, Zain I

PY - 2016/11/30

Y1 - 2016/11/30

N2 - Background: Aortic valve insufficiency (AI) at the time of left ventricular assist device (LVAD) insertion needs to be corrected, however there is little known about how to manage bioprosthetic valvular AI. Case presentation: A 55-year-old female with dilated cardiomyopathy who previously had a bioprosthetic aortic valve replacement needed a LVAD as a bridge to transplant. Her left ventricular ejection fraction was 10% and had mild to moderate transvalvular AI. She underwent a HeartWare HVAD insertion along with aortic valvular coaptation stitch repair (Park's stitch) to the bioprosthetic valve. Conclusion: Her AI improved to trivial with minimal ejection through the bioprosthetic valve. She was transplanted 6 months following the surgery. A Park's stitch to the bioprosthetic aortic valve with more than mild AI might be a good option for bridge to transplant patient.

AB - Background: Aortic valve insufficiency (AI) at the time of left ventricular assist device (LVAD) insertion needs to be corrected, however there is little known about how to manage bioprosthetic valvular AI. Case presentation: A 55-year-old female with dilated cardiomyopathy who previously had a bioprosthetic aortic valve replacement needed a LVAD as a bridge to transplant. Her left ventricular ejection fraction was 10% and had mild to moderate transvalvular AI. She underwent a HeartWare HVAD insertion along with aortic valvular coaptation stitch repair (Park's stitch) to the bioprosthetic valve. Conclusion: Her AI improved to trivial with minimal ejection through the bioprosthetic valve. She was transplanted 6 months following the surgery. A Park's stitch to the bioprosthetic aortic valve with more than mild AI might be a good option for bridge to transplant patient.

KW - Aortic insufficiency

KW - Aortic valve repair

KW - Bioprosthetic valve

KW - Left ventricular assist device

KW - Park's stitch

UR - http://www.scopus.com/inward/record.url?scp=84999853106&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84999853106&partnerID=8YFLogxK

U2 - 10.1186/s13019-016-0555-3

DO - 10.1186/s13019-016-0555-3

M3 - Article

C2 - 27899134

AN - SCOPUS:84999853106

VL - 11

JO - Journal of Cardiothoracic Surgery

JF - Journal of Cardiothoracic Surgery

SN - 1749-8090

IS - 1

M1 - 161

ER -