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Ann Thorac Surg 2004;78:2199-2206
© 2004 The Society of Thoracic Surgeons

Review

Percutaneous Valve Replacement: Current State and Future Prospects

Georg Lutter, MDa,*, Reza Ardehali, MD, PhDb, Jochen Cremer, MDa, Philipp Bonhoeffer, MDc

a Department of Cardiovascular Surgery, University of Kiel, Kiel, Germany
b Department of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland
c Department of Pediatric Cardiology, Great Ormond Street Hospital, University of London, London, Great Britain

* Address reprint requests to Dr Lutter, Department of Cardiovascular Surgery, Christian-Albrechts-University Kiel, School of Medicine, Arnold-Heller-Strasse 7, Kiel, D-24105 Kiel, Germany (E-mail: lutter{at}kielheart.uni-kiel.de).

Percutaneous valve implantation is the development of a foldable heart valve that can be mounted on an expandable stent delivered percutaneously through standard catheter-based techniques and implanted within a diseased valve annulus. In cases with severe aortic stenosis, the diseased valve has to be pre-dilated. To perform a true replacement the diseased valve has to be ablated and removed. In this article, we review the development of percutaneous valve replacement technology and discuss future prospects in this field.




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