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Emergency transthoracic transapical mitral valve-in-valve implantation.

Abstract：

OBJECTIVES:The valve-in-valve (VIV) technique is an emerging therapeutic option for patients with failure of previously implanted xenografts. We describe a balloon-expandable transthoracic transapical mitral VIV implantation in an emergency setting in a 69-year-old woman with dysfunction of the mitral bioprosthesis. METHODS:Left ventricular apical access was applied. After balloon valvuloplasty, a 26-mm Edwards-Sapien transcatheter valve (Edwards Lifesciences LLC, Irvine, CA, USA) was deployed within the mitral xenograft, using rapid ventricular pacing. RESULTS:The transcatheter valve functioned properly postoperatively and three-dimensional echocardiography carried out 1 month later showed a well-functioning VIV prosthesis and no mitral stenosis (mitral valve area 3 cm(2) , mean gradient 3 mmHg). CONCLUSIONS:In this patient, VIV implantation was found to be a safe alternative to an emergent valve replacement. It might represent a suitable option to conventional procedures even among lower risk patients.

journal_name

J Interv Cardiol

journal_title

Journal of interventional cardiology

authors

van Garsse LA,Gelsomino S,van Ommen V,Lucà F,Maessen J

doi

10.1111/j.1540-8183.2011.00637.x

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

474-6

issue

5

eissn

0896-4327

issn

1540-8183

journal_volume

24

pub_type

杂志文章

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