Transcatheter Mitral Valve Implantation in Open Heart Surgery: An Off-Label Technique

Autor: Jacopo Alfonsi, Giacomo Murana, Anna Corsini, Carlo Savini, Roberto Di Bartolomeo, Davide Pacini
Jazyk: English<br />Korean
Rok vydání: 2017
Předmět:
Zdroj: Korean Journal of Thoracic and Cardiovascular Surgery, Vol 50, Iss 6, Pp 467-470 (2017)
Druh dokumentu: article
ISSN: 2233-601X
2093-6516
DOI: 10.5090/kjtcs.2017.50.6.467
Popis: Extensive mitral annulus calcifications are considered a contraindication for valve surgery. We describe the case of a 76-year-old female with severe mitral and aortic stenosis associated with extensive calcifications of the heart. The patient underwent an open mitroaortic valve replacement using transcatheter aortic valve im-plantation with an Edwards SAPIEN XT valve (Edwards Lifesciences Corp., Irvine, CA, USA) in the mitral position. The aortic valve was replaced using a stentless valve prosthesis (LivaNova SOLO; LivaNova PLC, London, UK). Postoperative echocardiography showed that the prosthetic valve was in the correct position and there were no paravalvular leaks. A bailout open transcatheter valve implantation can be considered a safe and effective option in selected cases with an extensively calcified mitral valve.
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