Transcatheter valve-in-ring implantation after a failed surgical mitral repair using a transseptal approach and a veno-arterial loop for valve placement

Autor:	Ilkay Bozdag-Turan, Stephan Kische, Nina Wunderlich, Hüseyin Ince
Rok vydání:	2014
Předmět:	medicine.medical_specialty Mitral valve repair business.industry medicine.medical_treatment General Medicine Valve in ring Surgery Mitral annuloplasty ring Internal medicine medicine Cardiology Radiology Nuclear Medicine and imaging Cardiology and Cardiovascular Medicine business Edwards sapien
Zdroj:	Catheterization and Cardiovascular Interventions. 84:1202-1208
ISSN:	1522-1946
DOI:	10.1002/ccd.25309
Popis:	A failure of a mitral valve repair, which includes the implantation of a mitral annuloplasty ring in the majority of cases, is associated with relevant mortality. Surgery is considered as the standard treatment for these patients. For patients who have an unacceptable high peri-surgical risk a transcatheter valve-in-ring (TVIR) procedure might be an option. Isolated case reports and small case series report on the feasibility of a TVIR implantation in mitral position. We present a case where a 29-mm Edwards Sapien valve was placed in a 32-mm Carpentier Edwards ring. To our knowledge no valve has been implanted so far in this ring size and this is the first case where a veno-arterial loop was used as guide rail for valve implantation and helped considerably to position the valve properly.
Databáze:	OpenAIRE
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