Transapical transcatheter mitral valve-in-valve implantation in a human.

Cheung, Anson; Webb, John G; Wong, Daniel R; Ye, Jian; Masson, Jean-Bernard; Carere, Ronald G; Lichtenstein, Samuel V · Ann Thorac Surg · 2009

case_report · Level V

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Abstract

We describe a human transcatheter transapical mitral valve implant within a mitral bioprosthesis (valve-in-valve). A high-risk, 80-year-old man with symptomatic bioprosthetic mitral stenosis was positioned for anterior minithoracotomy. Left ventricular apical access was obtained. After balloon valvuloplasty, a cuffed, 26-mm Cribier-Edwards transcatheter valve (Edwards Lifesciences LLC, Irvine, CA) was deployed within the mitral xenograft, using rapid ventricular pacing. The transcatheter valve functioned properly postoperatively; however, the patient died of multiple organ dysfunction.

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