TY - JOUR
T1 - Transcatheter aortic valve implantation in a patient with mechanical mitral prosthesis
T2 - A lesson learned from an intraventricular clash
AU - Testa, Luca
AU - Gelpi, Guido
AU - Bedogni, Francesco
PY - 2013/10/1
Y1 - 2013/10/1
N2 - We hereby present the case of a patient with severe aortic stenosis who underwent in her previous medical history a mitral valve replacement with a mechanical valve (Omnicarbon 27), and progressively developed a severe aortic stenosis. This patient was judged inoperable and then scheduled for CoreValve Revalving System implantation. Despite a good positioning of the CoreValve, an acute, severe mitral regurgitation developed soon after implantation as a consequence of the impaired movement of the mitral prosthesis leaflet. A condition of cardiogenic shock quickly developed. A good mitral prosthesis function was restored disengaging the CoreValve from the aortic annulus. After few months, the patients underwent successful Edwards-Sapien valve implantation through the Corevalve. This case strongly demonstrates how much a careful evaluation of the features of the mitral prosthesis and patient anatomy is crucial to select which specific transcatheter bioprosthesis would better perform.
AB - We hereby present the case of a patient with severe aortic stenosis who underwent in her previous medical history a mitral valve replacement with a mechanical valve (Omnicarbon 27), and progressively developed a severe aortic stenosis. This patient was judged inoperable and then scheduled for CoreValve Revalving System implantation. Despite a good positioning of the CoreValve, an acute, severe mitral regurgitation developed soon after implantation as a consequence of the impaired movement of the mitral prosthesis leaflet. A condition of cardiogenic shock quickly developed. A good mitral prosthesis function was restored disengaging the CoreValve from the aortic annulus. After few months, the patients underwent successful Edwards-Sapien valve implantation through the Corevalve. This case strongly demonstrates how much a careful evaluation of the features of the mitral prosthesis and patient anatomy is crucial to select which specific transcatheter bioprosthesis would better perform.
KW - complications adult cath/intervention
KW - congestive heart failure
KW - valvular heart disease
UR - http://www.scopus.com/inward/record.url?scp=84885022453&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84885022453&partnerID=8YFLogxK
U2 - 10.1002/ccd.24948
DO - 10.1002/ccd.24948
M3 - Article
C2 - 23592397
AN - SCOPUS:84885022453
VL - 82
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
SN - 1522-1946
IS - 4
ER -