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Successful transapical aortic valve implantation four weeks before 97th birthday

^a Department of Thoracic and Cardiovascular Surgery, West-German Heart Center Essen, University of Duisburg-Essen, Germany
^b Department of Cardiology, West-German Heart Center Essen, University of Duisburg-Essen, Germany

*Corresponding author. Department of Thoracic and Cardiovascular Surgery, West-German Heart Center Essen, University Hospital Essen, Hufelandstraße 55, 45122 Essen, Germany. Tel.: +49-201-723-84912; fax: +49-201-723-5451.

E-mail address: daniel.wendt{at}uk-essen.de (D. Wendt).

Aortic valve replacement (AVR) is currently the treatment of choice in patients with symptomatic aortic stenosis, but transcatheter off-pump aortic valve implantation is a novel and emerging technique, which might be performed more frequently in the near future and may be a less invasive alternative to conventional AVR in selected high-risk patients. Up to date, the preoperative patient selection is debated and potential candidates for these new techniques are widely discussed. We report a successful transapical aortic valve implantation performed in a 96-year-old woman demonstrating the potential of the novel technique as an alternative treatment option in old and multimorbid patients at high risk for conventional AVR.

Key Words: Transapical aortic valve implantation; Transcatheter valve implantation; Aortic valve stenosis