1. Transseptal mitral valve replacement after transcatheter aortic valve implantation.
- Author
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Flannery LD, Lowery RC Jr, Sun X, Satler L, Corso P, Pichard A, and Wang Z
- Subjects
- Aged, 80 and over, Aortic Valve Stenosis complications, Aortic Valve Stenosis diagnostic imaging, Bioprosthesis, Echocardiography, Doppler, Color, Echocardiography, Three-Dimensional, Echocardiography, Transesophageal, Female, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation instrumentation, Humans, Mitral Valve Insufficiency complications, Mitral Valve Insufficiency diagnostic imaging, Predictive Value of Tests, Prosthesis Design, Treatment Outcome, Aortic Valve Stenosis therapy, Cardiac Catheterization instrumentation, Heart Valve Prosthesis Implantation methods, Mitral Valve Insufficiency surgery
- Abstract
We report a case of mitral valve replacement in a patient who had previously undergone transcatheter aortic valve implantation. A transseptal approach was used to avoid displacing the aortic prosthesis. Because of the small mitral annulus, a bioprosthetic aortic valve was used in reverse position for mitral valve replacement. The procedure did not interfere with the existing prosthesis, and a follow-up echocardiogram showed that both prosthetic valves were functioning well.To the best of our knowledge, this is the first report of mitral valve replacement in a patient who had a preceding transcatheter aortic valve implantation. We believe that the transseptal approach is promising for mitral valve replacement in such patients. Moreover, using a bioprosthetic aortic valve in reverse position is an option for mitral valve replacement when the mitral annulus is too small for placement of a standard bioprosthetic mitral valve.
- Published
- 2012