Redo AVR for Paravalvular Leak Following TAVR

Qasim Al Abri, Lamees I. El Nihum & Mahesh Ramchandani
This is an 82-year-old gentlemen with severe ostial LAD stenosis, paroxysmal atrial fibrillation, and para-valvular leak in a 2-year-old TAVR valve. The operation was performed via median sternotomy, which was followed by harvesting of the left internal mammary in a pedicle fashion. The pericardium was opened and suspended, and then heparin was given. After reaching an ACT of above 480, CPB was initiated via central aortic and venous cannulation. A retrograde cardioplegia catheter was inserted...
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