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Open Access 01-12-2017 | Case report

Emergency transapical mitral valve-in-valve implantation for bioprosthesis failure: transapical implantation of an Edwards Sapien-XT in a dysfunctional mitral bioprosthesis in a critical patient

Authors: Marco Zanobini, Sabrina Manganiello, Giorgia Bonalumi, Raoul Biondi, Marco Russo, Massimo Mapelli, Francesco Alamanni, Matteo Saccocci

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

Abstract

Background

Valve-in-Valve (VIV) Transcatheter Aortic Valve Replacement (TAVR) is now the treatment of choice in high-surgical-risk patients with failing aortic bioprosthesis. Although less performed, VIV-Transcatheter Mitral Valve Replacement (TMVR) is a valid treatment option for selected high-risk patients with degenerated mitral bioprostheses. Several cases of elective ViV- TAVR and -TMVR have been reported but only few were performed in critical hemodynamic conditions.

Case presentation

We report the case of a patient underwent balloon-expandable transapical mitral valve-in-valve implantation in an emergency setting due to a severe stenosis of a bioprosthesis in mitral position. The procedure was successfully performed, with no residual mitral regurgitation or paravalvular leaks, and uneventful.

Conclusion

Transcatheter transapical mitral valve-in-valve implantation could represent a feasible and effective strategy even in critical setting.

Nishimura RA, Otto CM, Bonow RO, et al. AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. 2017.

Condado JF, Kaebnick B, Babaliaros V. Transcatheter mitral valve-in-valve therapy. Interv. Cardiol Clin. 2016;5(1):117–23.

Summers MR, Mick S, Kapadia SR, et al. Emergency valve-in-valve transcatheter aortic valve replacement in a patient with degenerated bioprosthetic aortic stenosis and cardiogenic shock on veno-arterial extracorporeal membrane oxygenation. Catheter Cardiovasc Interv. 2017;

van Garsse LA, Gelsomino S, van Ommen V, et al. Emergency transthoracic transapical mitral valve-in-valve implantation. J Interv Cardiol. 2011;24(5):474–6.CrossRefPubMed

Taramasso M, Maisano F, Michev I, et al. Emergency transfemoral aortic valve-in-valve implantation with the balloon-expandable Edwards-Sapien valve. J Cardiovasc Med (Hagerstown). 2009;10(12):936–9.CrossRef

Title: Emergency transapical mitral valve-in-valve implantation for bioprosthesis failure: transapical implantation of an Edwards Sapien-XT in a dysfunctional mitral bioprosthesis in a critical patient
Authors: Marco Zanobini
Sabrina Manganiello
Giorgia Bonalumi
Raoul Biondi
Marco Russo
Massimo Mapelli
Francesco Alamanni
Matteo Saccocci
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-017-0680-7

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Emergency transapical mitral valve-in-valve implantation for bioprosthesis failure: transapical implantation of an Edwards Sapien-XT in a dysfunctional mitral bioprosthesis in a critical patient

Abstract

Background

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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