Emergency transthoracic transapical mitral valve-in-valve implantation.
J Interv Cardiol
; 24(5): 474-6, 2011 Oct.
Article
em En
| MEDLINE
| ID: mdl-21414030
ABSTRACT
OBJECTIVES:
The valve-in-valve (VIV) technique is an emerging therapeutic option for patients with failure of previously implanted xenografts. We describe a balloon-expandable transthoracic transapical mitral VIV implantation in an emergency setting in a 69-year-old woman with dysfunction of the mitral bioprosthesis.METHODS:
Left ventricular apical access was applied. After balloon valvuloplasty, a 26-mm Edwards-Sapien transcatheter valve (Edwards Lifesciences LLC, Irvine, CA, USA) was deployed within the mitral xenograft, using rapid ventricular pacing.RESULTS:
The transcatheter valve functioned properly postoperatively and three-dimensional echocardiography carried out 1 month later showed a well-functioning VIV prosthesis and no mitral stenosis (mitral valve area 3 cm(2) , mean gradient 3 mmHg).CONCLUSIONS:
In this patient, VIV implantation was found to be a safe alternative to an emergent valve replacement. It might represent a suitable option to conventional procedures even among lower risk patients.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Cateterismo
/
Ecocardiografia
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Implante de Prótese de Valva Cardíaca
/
Ventrículos do Coração
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Valva Mitral
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Estenose da Valva Mitral
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
J Interv Cardiol
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Holanda