Percutaneous Management of Prosthetic Valve Dysfunction in Mitral Position: Transapical Mitral Valve-In-Valve Implantation

The past 2 decades have seen a proliferation of transcatheter mitral valve (MV) therapies, which are less invasive and distinct from surgical MV repair or replacement. The commonly used MV transcatheter therapies include (1) percutaneous mitral balloon commissurotomy (PMBC) for rheumatic mitral stenosis; (2) edge-to-edge repair with the MitraClip for mitral regurgitation; (3) valve-in-valve implantation in bioprosthetic MV, native MV, or mitral ring; and (4) closure of paravalvular leaks (PVLs). This article will focus on the use of echocardiography in the diagnosis, patient selection, procedural guidance, and postprocedural follow-up for PMBC, with notes on the role of transesophageal echocardiography in transcatheter interventions for prosthetic valve degeneration and PVL closure.

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5-Year Experience With Transcatheter Transapical Mitral Valve-in-Valve Implantation for Bioprosthetic Valve Dysfunction

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2013.01.058 ◽

2013 ◽

Vol 61 (17) ◽

pp. 1759-1766 ◽

Cited By ~ 169

Author(s):

Anson Cheung ◽

John G. Webb ◽

Marco Barbanti ◽

Melanie Freeman ◽

Ronald K. Binder ◽

...

Keyword(s):

Mitral Valve ◽

Bioprosthetic Valve ◽

Valve Dysfunction ◽

Valve In Valve ◽

Valve Implantation

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A rare Mechanical prosthetic valve dysfunction

Medical Ultrasonography ◽

10.11152/mu-907 ◽

2017 ◽

Vol 19 (1) ◽

pp. 122

Author(s):

Yan Sun ◽

Hui Ming Zhang ◽

Hao Wang

Keyword(s):

Rare Case ◽

Prosthetic Valve ◽

Left Ventricular Volume ◽

Mechanical Valve ◽

Ventricular Volume ◽

Left Ventricular ◽

Valve Dysfunction ◽

Prosthetic Valve Dysfunction ◽

Mitral Position ◽

Mechanical Prosthetic Valve

A rare case of mechanical prosthetic valve dysfunction in mitral position. The mechanical valve opened once every two cardiac cycles. We also found the opening time of the mechanical valve in aortic positions was long and short alternately because of the Left ventricular volume changed every cardiac cycles.

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Immediate results of mitral valve-in-valve implantation for bioprosthetic valve dysfunction

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2015-2-36-41 ◽

2015 ◽

Vol 19 (2) ◽

pp. 36 ◽

Cited By ~ 1

Author(s):

L. S. Barbarash ◽

A. N. Stasev ◽

S. G. Kokorin ◽

N. V. Rutkovskaya ◽

I. N. Sizova

Keyword(s):

Cardiovascular Diseases ◽

Mitral Valve ◽

Valve Replacement ◽

Bioprosthetic Valve ◽

Advanced Age ◽

Valve Dysfunction ◽

Satisfactory Performance ◽

Hospital Deaths ◽

Valve In Valve ◽

Valve Implantation

Background. 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. Objective. To assess the immediate results of mitral valve-in-valve implantation for bioprosthetic valve dysfunction. Methods. 6 patients underwent mitral valve-in-valve implantation using “UniLine” prostheses at Kemerovo Research Institute for Complex Problems of Cardiovascular Diseases in 2014. Results. 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. Conclusion. Mitral valve-in-valve implantation for bioprosthetic valve dysfunction allows achieving satisfactory immediate results.

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