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

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

Research output: Contribution to journalArticle

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.

Original languageEnglish
Article number114
JournalJournal of Cardiothoracic Surgery
Volume12
Issue number1
DOIs
Publication statusPublished - Dec 13 2017

Keywords

  • Bioprosthesis
  • Emergency
  • Mitral bioprosthesis
  • Mitral valve stenosis
  • Transapical
  • Transcatheter valve implantation
  • Valve-in-valve

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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