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The Cardiovascular CME podcast is a free educational offering from Mayo Clinic, featuring content geared towards physicians, physician assistants, and nurse practitioners who are interested in exploring a multitude of cardiology-related topics. Tune in and subscribe to explore today’s most pressing cardiology topics with your colleagues at Mayo Clinic and gain valuable insights that can be directly applied to your practice. No CME credit offered for podcast episodes at this time.
Episodes
Tuesday Sep 20, 2022
Tuesday Sep 20, 2022
Surgical Planning for Bioprosthetic Implantation with a View to Future Transcatheter Valve-in-Valve Implantation
Guest: Juan A. Crestanello, M.D.
Host: Kyle W. Klarich, M.D. (@KyleWKlarich)
A Bioprosthetic Implantation is an implanted device to replace a defective heart valve. Furthermore, a Transcatheter Valve-in-Valve Implantation procedure is considered more effective for patients. In addition, a Transcatheter VIV is a redo surgery for patients who have experienced failure of Aortic Bioprosthesis. The transcatheter VIV is less harmful to the human body than Aortic Valve Replacement. Before performing a Transcatheter VIV, doctors consider measurements of the valve and implant position to prevent future complications. Knowing the size and height of the coronary arteries helps prevent the patient from being exposed to coronary obstruction.
Joining us today to discuss Surgical Planning for Bioprosthetic Implantation with a View to Future Transcatheter Valve-in-Valve Implantation is Juan A. Crestanello, M.D., chair of the department of cardiovascular medicine, cardiovascular surgery, and the professor of surgery at Mayo Clinic in Rochester, Minnesota.
Specific topics discussed:
- How often ViV is performed compared with redo AVR?
- What are the limitation that prevent performance of ViV?
- What is the risk and who is at risk for coronary obstruction during ViV?
- What is the risk of patient prosthesis mismatch?
- What are the measures you take when performing a surgical AVR to allow for valve in valve in the future?
Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV.
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No CME credit offered for this episode.
Podcast episode transcript found here.