Transapical Transcatheter Valve-in-valve Replacement for Deteriorated Mitral Valve Bioprosthesis without Radio-Opaque Indicators: The "Invisible" Mitral Valve Bioprosthesis

Marco Luciano Rossi, Cristina Barbaro, Paolo Pagnotta, Antioco Cappai, Diego Ornaghi, Guido Belli, Patrizia Presbitero

Research output: Contribution to journalArticle

Abstract

In view of the high number of bioprosthetic valves implanted during the past 30 years, an increasing number of patients are coming to medical attention because of degenerated bioprostheses. Transcatheter aortic valve-in-valve implantation has been described as a less invasive alternative to re-operation to treat severe structural valve deterioration. As far as degenerated mitral valve bioprostheses are concerned, transcatheter transapical mitral valve-in-valve replacement (TMVR) has been less commonly performed, but may also become a viable alternative to re-do replacement surgery. We describe treatment of a degenerated bioprosthetic mitral valve, characterised by complete absence of any radio-opaque landmarks making the TMVR procedure very challenging.

Original languageEnglish
Pages (from-to)e19-e22
JournalHeart Lung and Circulation
Volume24
Issue number2
DOIs
Publication statusPublished - Feb 1 2015

Keywords

  • Degenerated bioprosthesis
  • Radio-opaque bioprosthesis indicators
  • Severe mitral regurgitation
  • Transcatheter transapical mitral valve-in-valve replacement
  • Tridimensional transoesophageal echocardiography

ASJC Scopus subject areas

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

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