A Hybrid Double Access for Transcatheter Mitral Valve-In-Valve Implantation.

Pagnotta, Paolo; Mennuni, Marco G; Ferrante, Giuseppe; Ornaghi, Diego; Bragato, Renato; Cappai, Antioco; Presbitero, Patrizia · Ann Thorac Surg · 2015

case_report · Level V

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Abstract

We present a case of hybrid mitral valve-in valve implantation. The planned transapical approach failed due to the inability to cross the degenerated stenotic mitral bioprosthesis. An alternative strategy was performed: first, an anterograde crossing of mitral stenosis, and then, a guidewire externalization through the apex by using a snare. To our knowledge, this is the first described case of double approach mitral valve-in valve implantation.

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