Cardiac

New Valve-in-Valve Replacement Technique Extends Life of Stockton Heart Patient

Posted on Oct 29, 2018 in Cardiac, Quality, Sutter Medical Center, Sacramento, Sutter Medical Foundation

Sutter Medical Center, Sacramento Is First in Central Valley to Use New Life-Saving Procedure

 

The Sutter Medical Center, Sacramento TAVR Valve Team was the first in the greater Sacramento area to perform a BASILICA procedure, which saved a Stockton woman’s life. Pictured are the medical directors of the TAVR program: from left, Michael Ingram, M.D., David Roberts, M.D., and Pei-Hsiu Huang, M.D. Dr. Ingram’s partner, James Longoria, M.D., was the heart surgeon on the first procedure.

SACRAMENTO – Sutter Medical Center, Sacramento became the first hospital in the Central Valley region and the third in the entire state to perform an innovative catheter procedure called BASILICA, which was successfully used Oct. 24 on an 82-year-old Stockton patient whose bioprosthetic aortic valve was failing, effectively saving and extending her life.

By using this new BASILICA procedure followed by a minimally invasive valve replacement called transcatheter aortic valve replacement (TAVR), the interventional cardiologists, heart surgeon and specialty heart valve team were able to prevent an often-fatal complication of a valve-in-valve replacement — coronary artery obstruction caused by displacement of the old valve’s leaflets.

“Because of this patient’s anatomy, if we just performed a standard valve-in-valve TAVR for the failed valve without first doing the BASILICA procedure, there would have been a very high risk of blocking a coronary artery, which would result in a large and probably fatal heart attack,” said Sutter Health interventional cardiologist Pei-Hsiu Huang, M.D., who performed the procedure together with cardiovascular surgeon James Longoria, M.D., and interventional cardiologist David Roberts, M.D. “By performing this new BASILICA procedure first, it prevents the valve leaflets from obstructing the coronary arteries when the new valve is implanted.” Read More