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 Friedman, Samuel Kim, Scott Lick, Zain Khalpey

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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

Keywords

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

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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