Transjugular approach in valve-in-valve transcatheter mitral valve replacement: direct route to the valve.

Kaneko, Tsuyoshi; Swain, JaBaris D; Loberman, Dan; Welt, Frederick G P; Davidson, Michael J; Eisenhauer, Andrew C · Ann Thorac Surg · 2014

case_report · Level V

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Abstract

With the recent emergence of transcatheter valve replacement, high-risk cases of structural valve deterioration after mitral bioprosthesis can be treated with valve-in-valve transcatheter mitral valve replacement (TMVR). The transapical approach has become the principal access for TMVR, but we report an alternative direct access for TMVR--transjugular transseptal route--in an 81-year-old woman with a degenerated mitral bioprosthesis.

Medical subject headings