Transcatheter valve-in-valve implantation vs. reoperative mitral valve surgery for failing surgical prosthesis

It is well known that a heavily calcified mitral valve significantly increases the perioperative and postoperative risks of mitral valve surgery. A 71-year-old woman was referred to our department with severe mitral valve disease. Cardiac imaging revealed extremely severe calcification of the entire left heart. Surgery was performed through a median sternotomy with standard cardiopulmonary bypass. After dilating the mitral orifice with a balloon, we replaced the valve with a transcatheter Edwards Sapiens 3 aortic valve under direct vision. Seven months after the procedure, the patient was doing well and no longer suffered from dyspnea.

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Transcatheter Mitral Valve-in-Valve Implantation versus Conventional Redo Mitral Valve Surgery

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0038-1627923 ◽

2018 ◽

Vol 66 (S 01) ◽

pp. S1-S110

Author(s):

L. Eschenbach ◽

M. Deutsch ◽

M. Erlebach ◽

R. Günzinger ◽

H. Ruge ◽

...

Keyword(s):

Mitral Valve ◽

Mitral Valve Surgery ◽

Valve Surgery ◽

Valve In Valve ◽

Valve Implantation

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Combined Transapical Valve-in-Valve/Valve-in-Ring Transcatheter Mitral Valve Implantation and Paravalvular Leak Closure for Failed Mitral Valve Surgery

Canadian Journal of Cardiology ◽

10.1016/j.cjca.2018.04.027 ◽

2018 ◽

Vol 34 (8) ◽

pp. 1088.e3-1088.e6 ◽

Cited By ~ 1

Author(s):

Dale J. Murdoch ◽

Janarthanan Sathananthan ◽

Anson Cheung ◽

John G. Webb

Keyword(s):

Mitral Valve ◽

Mitral Valve Surgery ◽

Valve Surgery ◽

Paravalvular Leak ◽

Valve In Valve ◽

Valve Implantation

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TCT-685 Results After Transcatheter Valve-in-Valve Implantation And Redo Aortic Valve Surgery For Failed Aortic Bioprostheses

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2015.08.704 ◽

2015 ◽

Vol 66 (15) ◽

pp. B280

Author(s):

Magdalena Erlebach ◽

Michael Wottke ◽

Marcus-André Deutsch ◽

Markus Krane ◽

Nicolo Piazza ◽

...

Keyword(s):

Aortic Valve ◽

Valve Surgery ◽

Aortic Valve Surgery ◽

Valve In Valve ◽

Transcatheter Valve ◽

Valve Implantation

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How to treat severe symptomatic structural valve deterioration of aortic surgical bioprosthesis: transcatheter valve-in-valve implantation or redo valve surgery?

European Journal of Cardio-Thoracic Surgery ◽

10.1093/ejcts/ezy204 ◽

2018 ◽

Vol 54 (6) ◽

pp. 977-985 ◽

Cited By ~ 2

Author(s):

David Attias ◽

Mohammed Nejjari ◽

Francesco Nappi ◽

Julien Dreyfus ◽

Mackram F Eleid ◽

...

Keyword(s):

Valve Surgery ◽

Structural Valve Deterioration ◽

Valve In Valve ◽

Transcatheter Valve ◽

Valve Implantation

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Mitral valve-in-valve implantation during pregnancy

BMJ Case Reports ◽

10.1136/bcr-2021-244270 ◽

2021 ◽

Vol 14 (11) ◽

pp. e244270

Author(s):

Mark Zachary Johnson ◽

Nicholas James Damianopoulos ◽

Felicity Lee ◽

Gerald Yong

Keyword(s):

Mitral Valve ◽

African Woman ◽

Valve Prosthesis ◽

Mitral Valve Prosthesis ◽

Valve In Valve ◽

Transcatheter Valve ◽

Valve Implantation ◽

Consensus Decision ◽

Rheumatic Heart ◽

Mitral Bioprosthesis

A 32-year-old, 11-week pregnant African woman with known rheumatic heart disease presented to the emergency department with worsening shortness of breath on exertion. She had undergone a double bioprosthetic valve replacement and left atrial appendage resection 8 years prior for severe mitral stenosis, moderate mitral regurgitation and moderate aortic regurgitation. A transo-oesophageal echocardiography at this presentation confirmed a morphologically calcified and stenosed mitral bioprosthesis, with moderate stenosis of her aortic bioprosthesis. Her multidisciplinary team, including cardiologists, cardiothoracic surgeons and obstetricians, came to a consensus decision to proceed with a transseptal transcatheter valve implantation within the mitral valve prosthesis (valve-in-valve implantation). Transthoracic echocardiography performed 2 months post procedure showed satisfactory mitral valve gradients and at 30 weeks’ gestation, she successfully delivered her fifth child. 2 years later, the valve in valve complex is still functioning well.

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