Intrepid Transcatheter Mitral Valve Replacement in a Surgically High-Risk Patient with Previous Mechanical Aortic Valve Replacement

2021 ◽  
Vol 30 ◽  
pp. S311-S312
Author(s):  
C. Tan
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
High Risk Patient ◽  
Risk Patient ◽  
Mechanical Aortic Valve ◽  
Transcatheter Mitral Valve Replacement

Direct Transcatheter Valve Deployment via Sternotomy for Complex Aortic Valve Reoperation

2019 ◽  
Vol 14 (4) ◽  
pp. 365-368
Author(s):  
Tom C. Nguyen ◽  
Alexander P. Nissen ◽  
Pranav Loyalka ◽  
Eyal E. Porat
Keyword(s):  
High Risk ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
High Risk Patient ◽  
Direct Vision ◽  
Risk Patient ◽  
Transcatheter Aortic Valve ◽  
Valve In Valve

Reoperative aortic valve replacement is associated with increased morbidity. Valve-in-valve transcatheter aortic valve replacement offers a less invasive alternative to traditional reoperation. However, cases of valve failure after valve-in-valve transcatheter aortic valve replacement represent a complex surgical challenge. We present a case requiring a complex reoperative aortic valve replacement due to structural valve deterioration after multiple previous valve-in-valve transcatheter aortic valve replacements. We performed removal of 3 previous valve-in-valve transcatheter aortic valves, bioprosthetic leaflet excision, and intentional bioprosthetic fracture under direct vision for annular enlargement. This facilitated direct insertion of a new transcatheter aortic valve for expedient and successful management of recurrent aortic stenosis in a very high-risk patient. Creative use of leaflet excision, intentional bioprosthetic fracture, and insertion of a new transcatheter aortic valve under direct vision, proved efficient and successful in a high-risk patient with few surgical options.

scholarly journals Minimally invasive aortic valve replacement in high risk patient groups

2017 ◽  
Vol 9 (6) ◽  
pp. 1672-1696 ◽  
Author(s):  
Daniel Fudulu ◽  
Harriet Lewis ◽  
Umberto Benedetto ◽  
Massimo Caputo ◽  
Gianni Angelini ◽  
...  
Keyword(s):  
High Risk ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Minimally Invasive ◽  
Valve Replacement ◽  
High Risk Patient ◽  
Risk Patient ◽  
Patient Groups

Transcatheter Aortic Valve Replacement (TAVR) and Angioplasty in a High-Risk Patient

2018 ◽  
pp. 235-246
Author(s):  
Flávia Cristina Kufner ◽  
Carlos Henrique Romancini ◽  
Caroline Kelli Domingues dos Santos ◽  
Evandro Luis Queiroz Flores ◽  
Rui M. S. Almeida
Keyword(s):  
High Risk ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
High Risk Patient ◽  
Risk Patient ◽  
Transcatheter Aortic Valve

scholarly journals Simultaneous transapical transcatheter aortic and mitral valve replacement in a high-risk patient with a previous mitral bioprosthesis

2012 ◽  
Vol 144 (3) ◽  
pp. e90-e91 ◽  
Author(s):  
Adil H. Al Kindi ◽  
Khaled F. Salhab ◽  
Samir Kapadia ◽  
Eric E. Roselli ◽  
Amar Krishnaswamy ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
High Risk Patient ◽  
Risk Patient ◽  
Mitral Bioprosthesis

scholarly journals Totally Thoracoscopic Redo Mitral Valve Replacement for a High-Risk Patient Following Failed MitraClip Procedure

2021 ◽  
Vol 24 (5) ◽  
pp. E898-E900
Author(s):  
Peijian ◽  
Weitao Zhuang ◽  
Yanjun Liu ◽  
Jiexu Ma ◽  
Wei Zhu ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Heart Surgery ◽  
Surgical Intervention ◽  
Open Heart Surgery ◽  
High Risk Patient ◽  
Risk Patient ◽  
Open Heart

The wide adoption of the MitraClip procedure in clinical practice inevitably causes increases in surgical intervention demand for patients following failed MitraClip implantation. Current reports about surgical intervention after failed MitraClip procedure focused on open-heart surgery. In this case, totally thoracoscopic third-time redo mitral valve replacement was successfully performed for a high-risk patient, following aortic valve replacement and a failed MitraClip procedure.

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