Work

Nickel Allergy in Cardiothoracic Surgery: A Case Report

Year: 2026

Type: article

Abstract: Background: Metal hypersensitivity represents a rare but important challenge in cardiothoracic surgery, particularly during prosthesis selection for aortic valve replacement. Case Description: A 63-year-old woman with critical bicuspid aortic stenosis and moderate left ventricular dysfunction was found to have severe hypersensitivity to multiple metal alloys, including nickel, palladium, and iridium. Following multidisciplinary evaluation, standard surgical aortic valve replacement was considered unsafe. A transfemoral transcatheter aortic valve implantation using a cobalt-chromium transcatheter valve was successfully performed without complications. Conclusion: This case highlights the importance of individualized, multidisciplinary decision-making when managing patients with significant metal hypersensitivity.

Source: The Thoracic and Cardiovascular Surgeon Reports

DOI: 10.1055/a-2862-1054

Authors: Jason Sanchez, Andrew Brazier, Adeyemi Olayiwola, Uday Dandekar

Institution: University Hospitals Coventry and Warwickshire NHS Trust

Language: English

Topic: Cardiac Valve Diseases and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,300