Carrel, Thierry

Gisler, Fabian

Huber, Christoph

Wenaweser, Peter

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Severe calciﬁcation of a Shelhigh stentless valved conduitFabian Gislera, Christoph Hubera, Peter Wenaweserb and Thierry Carrela,*a Clinic for Cardiovascular Surgery, University Hospital Berne, Berne, Switzerlandb Clinic for Cardiology, University Hospital Berne, Berne, Switzerland* Corresponding author. Clinic for Cardiovascular Surgery, University Hospital Berne, 3010 Berne, Switzerland. Tel: +41-31-6322375; fax: +41-31-6324443;e-mail: thierry.carrel@insel.ch (T. Carrel).Received 9 October 2013; received in revised form 30 October 2013; accepted 5 November 2013Keywords: Aortic calciﬁcation • TAVI • Stentless conduitA 74-year old patient developed severe aortic valve regurgita-tion 11 years following root replacement using a stentlessShelhigh tube-graft. Computed tomography scan showed aheavily calciﬁed aortic conduit (Fig. 1), although the companyclaims that detoxiﬁcation process eliminates residual glutaralde-hyde and ensures less calciﬁcation in the long term. Thepatient underwent successful transapical transcatheter aorticvalve implantation.Figure 1: Severely calciﬁed Shelhigh-conduit in (A) angiography and (B) computedtomography.© The Author 2013. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.European Journal of Cardio-Thoracic Surgery 46 (2014) 334 IMAGES IN CARDIO-THORACIC SURGERYdoi:10.1093/ejcts/ezt569 Advance Access publication 11 December 2013

Severe calcification of a Shelhigh stentless valved conduit

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