A hybrid double access for transcatheter mitral valve-in-valve implantation

Paolo Pagnotta, Marco G. Mennuni, Giuseppe Ferrante, Diego Ornaghi, Renato Bragato, Antioco Cappai, Patrizia Presbitero

Research output: Contribution to journalArticlepeer-review


We present a case of hybrid mitral valve-in valve implantation. The planned transapical approach failed due to the inability to cross the degenerated stenotic mitral bioprosthesis. An alternative strategy was performed: first, an anterograde crossing of mitral stenosis, and then, a guidewire externalization through the apex by using a snare. To our knowledge, this is the first described case of double approach mitral valve-in valve implantation.

Original languageEnglish
Pages (from-to)e149-e150
JournalAnnals of Thoracic Surgery
Issue number6
Publication statusPublished - Jun 1 2015

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine
  • Medicine(all)


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