{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T18:57:16Z","timestamp":1781895436697,"version":"3.54.5"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>The implantation of a left ventricular assist device (LVAD) has become an essential requirement for managing patients with end-stage heart failure. However, aortic valve insufficiency is a contraindication for LVAD implantation in patients with end-stage heart failure, partly because of the decreasing efficiency of mechanical circulatory support and the eventual development of right ventricular failure. Herein, we present the first case of performing transcatheter aortic valve replacement in valve-in-ring along with LVAD implantation for the treatment of a 60-year-old male suffering from refractory heart failure due to dilated cardiomyopathy and pure aortic insufficiency in need of a new aortic bioprosthesis. A balloon-expandable bioprosthetic transcatheter heart valve was implanted into a previously sewn annulus ring into the aortic root <jats:italic>via<\/jats:italic> transaortic access. Subsequently, a centrifugal-flow LVAD was implanted. Postoperatively, the patient was in New York Heart Association Functional Class (NYHA) II with 6-min walk test of 310\u2005m. The patient has completed 6 months of follow-up with no events. This novel and feasible surgical technique reduced the cardiopulmonary bypass time and duration of surgery. Furthermore, it avoids the risk of redo sternotomy and decreases the chances of paravalvular leakage and worsening of aortic regurgitation.<\/jats:p>","DOI":"10.3389\/fcvm.2023.1091420","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T06:22:49Z","timestamp":1680762169000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Case report: A novel surgical technique for rapid valve-in-ring implantation into the native aortic annulus during left ventricular assist device implantation"],"prefix":"10.3389","volume":"10","author":[{"given":"Yuriy","family":"Pya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdurashid","family":"Mussayev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svetlana","family":"Novikova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makhabbat","family":"Bekbossynova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serik","family":"Alimbayev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nail","family":"Khissamutdinov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timur","family":"Kapyshev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidyn","family":"Kuanyshbek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timur","family":"Lesbekov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1097\/AIA.0b013e31826233a9","article-title":"Ventricular assist device therapy for heart failure\u2014past, present, and future","volume":"50","author":"Bellumkonda","year":"2012","journal-title":"Int Anesthesiol Clin"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e019376","DOI":"10.1161\/JAHA.120.019376","article-title":"Intra-aortic balloon pump as a bridge to durable left ventricular assist device","volume":"10","author":"Brown","year":"2021","journal-title":"J Am Heart Assoc"},{"key":"B3","doi-asserted-by":"publisher","first-page":"3542","DOI":"10.3390\/jcm11123542","article-title":"LVAD as a bridge to remission from advanced heart failure: current data and opportunities for improvement","volume":"11","author":"Kyriakopoulos","year":"2022","journal-title":"J Clin Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1002\/ehf2.13767","article-title":"Degenerative changes of the aortic valve during left ventricular assist device support","volume":"9","author":"Barth","year":"2022","journal-title":"ESC Heart Fail"},{"key":"B5","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1080\/24748706.2018.1540071","article-title":"TAVR in patients with left ventricular assist device: case report and literature review","volume":"3","author":"Iadanza","year":"2019","journal-title":"Structural Heart"},{"key":"B6","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1016\/j.healun.2014.11.008","article-title":"Concomitant aortic valve procedures in patients undergoing implantation of continuous-flow left ventricular assist devices: an INTERMACS database analysis","volume":"34","author":"Robertson","year":"2015","journal-title":"J Heart Lung Transplant"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2542","DOI":"10.1016\/j.jacc.2015.04.039","article-title":"Left ventricular assist devices: a rapidly evolving alternative to transplant","volume":"65","author":"Mancini","year":"2015","journal-title":"JACC"},{"key":"B8","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1016\/j.healun.2010.11.007","article-title":"Aortic valve closure associated with HeartMate left ventricular device support: technical considerations and long-term results","volume":"30","author":"Adamson","year":"2011","journal-title":"J Heart Lung Transplant"},{"key":"B9","doi-asserted-by":"publisher","first-page":"e163","DOI":"10.1016\/j.athoracsur.2019.06.094","article-title":"Valve-in-ring transcatheter aortic valve replacement after left ventricular assist device therapy","volume":"109","author":"Chung","year":"2020","journal-title":"Ann Thorac Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1714\/3578.35633","article-title":"Impianto transcatetere di valvola aortica per insufficienza aortica nei pazienti con assistenza ventricolare sinistra [Transcatheter aortic valve implantation for aortic insufficiency in patients with left ventricular assistance]","volume":"22","author":"Ancona","year":"2021","journal-title":"G Ital Cardiol"},{"key":"B11","first-page":"240","article-title":"The functional aortic annulus in the 3D era: Focus on transcatheter aortic valve replacement for the perioperative echocardiographer","volume-title":"J Cardiothorac Vasc Anesth","author":"Patel","year":"2015"},{"key":"B12","doi-asserted-by":"publisher","first-page":"489","DOI":"10.5301\/ijao.5000102","article-title":"Simultaneous aortic valve replacement in left ventricular assist device recipients: single-center experience","volume":"35","author":"Dranishnikov","year":"2012","journal-title":"Int J Artif Organs"},{"key":"B13","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1016\/j.jtcvs.2013.10.024","article-title":"Impact of concurrent surgical valve procedures in patients receiving continuous-flow devices","volume":"147","author":"John","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1186\/s13019-019-0944-5","article-title":"LVAD with concomitant rapid deployment valve implantation\u2014a case report","volume":"14","author":"Holloway","year":"2019","journal-title":"J Cardiothorac Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1186\/s13019-020-01268-y","article-title":"Benefits of rapid deployment aortic valve replacement with a mini upper sternotomy","volume":"15","author":"Chien","year":"2020","journal-title":"J Cardiothorac Surg"},{"key":"B16","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.athoracsur.2017.07.047","article-title":"Rapid deployment aortic valve replacement: excellent results and increased effective orifice areas","volume":"105","author":"Rahmanian","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"B17","doi-asserted-by":"publisher","first-page":"2036","DOI":"10.1016\/j.jtcvs.2020.06.022","article-title":"Rapid deployment valves versus conventional tissue valves for aortic valve replacement","volume":"163","author":"White","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B18","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1016\/j.healun.2018.09.023","article-title":"Rapid deployment of an aortic valve prosthesis during ventricular assist device implantation","volume":"38","author":"Gangahanamaiah","year":"2019","journal-title":"J Heart Lung Transplant"},{"key":"B19","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1016\/j.jtcvs.2016.09.062","article-title":"TRANSFORM (Multicenter experience with rapid deployment Edwards INTUITY valve system for aortic valve replacement) US clinical trial: performance of a rapid deployment aortic valve","volume":"153","author":"Barnhart","year":"2017","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1091420\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T06:22:55Z","timestamp":1680762175000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1091420\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,6]]},"references-count":19,"alternative-id":["10.3389\/fcvm.2023.1091420"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2023.1091420","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,6]]},"article-number":"1091420"}}