Multiple valve replacements are known to carry additional risk of morbidity and mortality in redo context. Currently, a transcatheter-based valve-in-valve approach could be useful in reducing potential serious consequences. On the other hand, this approach poses several technical challenges regarding the device and the procedural aspects. We present the case of a 78-year-old man who presented with symptoms of heart failure due to mitral and aortic bioprosthesis degenerations who was deemed to be at extremely high risk for a conventional redo surgery. A two-step transcatheter-based approach was planned and a transfemoral aortic valve-in-valve procedure was followed by a transapical mitral valve-in-valve implantation with a favorable early and long-term outcome.
Mitro-aortic valve-in-valve procedures: Many challenges in little space / M. Gennari, P. Trabattoni, G. Polvani, M. Agrifoglio. - In: JOURNAL OF CARDIAC SURGERY. - ISSN 0886-0440. - (2020). [Epub ahead of print] [10.1111/jocs.14806]
Mitro-aortic valve-in-valve procedures: Many challenges in little space
G. PolvaniPenultimo
;M. AgrifoglioUltimo
2020
Abstract
Multiple valve replacements are known to carry additional risk of morbidity and mortality in redo context. Currently, a transcatheter-based valve-in-valve approach could be useful in reducing potential serious consequences. On the other hand, this approach poses several technical challenges regarding the device and the procedural aspects. We present the case of a 78-year-old man who presented with symptoms of heart failure due to mitral and aortic bioprosthesis degenerations who was deemed to be at extremely high risk for a conventional redo surgery. A two-step transcatheter-based approach was planned and a transfemoral aortic valve-in-valve procedure was followed by a transapical mitral valve-in-valve implantation with a favorable early and long-term outcome.File | Dimensione | Formato | |
---|---|---|---|
jocs.14806.pdf
accesso riservato
Descrizione: e-pub ahead of print
Tipologia:
Publisher's version/PDF
Dimensione
683.8 kB
Formato
Adobe PDF
|
683.8 kB | Adobe PDF | Visualizza/Apri Richiedi una copia |
Pubblicazioni consigliate
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.