Transcatheter Mitral Valve Implantation in Open Heart Surgery: An Off-Label Technique.
10.5090/kjtcs.2017.50.6.467
- Author:
Jacopo ALFONSI
1
;
Giacomo MURANA
;
Anna CORSINI
;
Carlo SAVINI
;
Roberto DI BARTOLOMEO
;
Davide PACINI
Author Information
1. Department of Cardiovascular Surgery, S.Orsola Hospital, Alma Mater Studiorum - University of Bologna, Italy. jacopoalfonsi@hotmail.it
- Publication Type:Case Report
- Keywords:
Mitral valve;
Ventricle;
Calcifications;
Aortic valve;
Heart valve prosthesis
- MeSH:
Aged;
Aortic Valve;
Aortic Valve Stenosis;
Echocardiography;
Female;
Heart Valve Prosthesis;
Heart*;
Humans;
Mitral Valve*;
Prostheses and Implants;
Thoracic Surgery*;
Transcatheter Aortic Valve Replacement
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(6):467-470
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 implantation 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.
