Transcatheter pulmonary valve‐in‐valve implantation within the expandable Inspiris Resilia® bioprosthetic valve

Author(s):  
Sarosh P. Batlivala ◽  
Jonathon A. Hagel ◽  
Russel Hirsch ◽  
Shabana Shahanavaz
Author(s):  
Matjaz Bunc ◽  
Miha Cercek ◽  
Tomaz Podlesnikar ◽  
Simon Terseglav ◽  
Klemen Steblovnik

Abstract Background Failure of a small surgical aortic bioprosthesis represents a challenging clinical scenario with valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) often resulting in patient-prosthesis mismatch. Bioprosthetic valve fracture (BVF) performed as a part of the ViV TAVI has recently emerged as an alternative approach with certain types of surgical bioprostheses. Case summary An 81-year-old woman with a history of three surgical aortic valve procedures presented with heart failure. Aortic bioprosthesis degeneration with severe stenosis and moderate regurgitation was found. The patient was deemed a high-risk surgical candidate and the heart team decided that ViV TAVI was the preferred treatment option. Due to the very small 19 mm stented surgical aortic bioprosthesis Mitroflow 19 mm (Sorin Group, Italy) we decided to perform BVF as a part of ViV TAVI to prevent patient-prosthesis mismatch. Since this was the first BVF procedure in our centre, an ex vivo BVF of the same kind of bioprosthetic valve was performed first. Subsequently, successful BVF with implantation of Evolut R 23 mm (Medtronic, USA) self-expandable transcatheter valve was performed. Excellent haemodynamic result was achieved and no periprocedural complications were present. The patient had an immediate major improvement in clinical status and remains asymptomatic after 6 months. Discussion Bioprosthetic valve fracture together with ViV TAVI is a safe and effective emerging technique for treatment of small surgical aortic bioprosthesis failure. Bioprosthetic valve fracture allows marked oversizing of implanted self-expandable transcatheter aortic valves, leading to excellent haemodynamic and clinical results. An ex vivo BVF can serve as an important preparatory step when introducing the new method.


2020 ◽  
Vol 21 (6) ◽  
pp. 808-809
Author(s):  
Francesco Melillo ◽  
Luca A. Ferri ◽  
Alessandro Beneduce ◽  
Luca Baldetti ◽  
Marco Ancona ◽  
...  

2018 ◽  
Vol 72 (13) ◽  
pp. B152-B153
Author(s):  
Abdullah Alenezi ◽  
John Webb ◽  
Jonathon Leipsic ◽  
Philipp Blanke ◽  
David Wood ◽  
...  

2013 ◽  
Vol 61 (17) ◽  
pp. 1759-1766 ◽  
Author(s):  
Anson Cheung ◽  
John G. Webb ◽  
Marco Barbanti ◽  
Melanie Freeman ◽  
Ronald K. Binder ◽  
...  

2015 ◽  
Vol 19 (2) ◽  
pp. 36 ◽  
Author(s):  
L. S. Barbarash ◽  
A. N. Stasev ◽  
S. G. Kokorin ◽  
N. V. Rutkovskaya ◽  
I. N. Sizova

<p><strong>Background</strong>. Patients with bioprosthetic valve dysfunction have a higher risk for redo procedures because of advanced age, comorbidities and redo-related technical difficulties. Thus, valve-in-valve replacement seems to be an easier and safer option for this group of patients.<br />Objective. To assess the immediate results of mitral valve-in-valve implantation for bioprosthetic valve dysfunction.<br /><strong>Methods</strong>. 6 patients underwent mitral valve-in-valve implantation using “UniLine” prostheses at Kemerovo Research Institute for Complex Problems of Cardiovascular Diseases in 2014.<br /><strong>Results.</strong> There were no cases of in-hospital deaths and prosthesis-related complications in the group under study. Satisfactory performance of bioprostheses was confirmed by echocardiography offered to all the patients before their discharge. <br /><strong>Conclusion.</strong> Mitral valve-in-valve implantation for bioprosthetic valve dysfunction allows achieving satisfactory immediate results.</p>


2019 ◽  
Vol 93 (6) ◽  
pp. 1170-1172
Author(s):  
Taylor M. James ◽  
Sotiris C. Stamou ◽  
Mark Rothenberg ◽  
Marcos A. Nores

2008 ◽  
Vol 29 (6) ◽  
pp. 810-815 ◽  
Author(s):  
J. Nordmeyer ◽  
L. Coats ◽  
P. Lurz ◽  
T.-Y. Lee ◽  
G. Derrick ◽  
...  

2015 ◽  
Vol 7 (1) ◽  
pp. 55
Author(s):  
François Godart ◽  
Younes Boudjemlline ◽  
Alban Baruteau ◽  
Jérôme Petit ◽  
François Sassolas

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