First case of transcatheter native mitral and aortic valve replacement

EuroIntervention 2016;12:1196. DOI: 10.4244/EIJV12I9A195

Hellmuth Weich
Hellmuth Weich1*, MBChB; Jacques Janson2, MBChB; Alfonso Pecoraro1, MBChB; Jacques van Wyk3, MBChB; Andre Rocher4, MBChB; Johan Dempers5, MBChB; Anton Doubell1, MBChB, PhD
1. Division of Cardiology, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa; 2. Division of Cardiothoracic Surgery, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa; 3. Mediclinic Panorama, Cape Town, South Af

We describe the first case of transcatheter replacement of both aortic and mitral native valves in a 91-year-old female patient with severe symptomatic aortic stenosis and severe mitral stenosis. A CT scan confirmed circumferential mitral annular calcification (MAC). Via a transapical approach, a 23 mm SAPIEN XT valve (Edwards Lifesciences, Irvine, CA, USA) was successfully placed (Moving image 1). The mitral annulus measured 19×26 mm and a 29 mm SAPIEN XT valve was deployed within the MAC (arrow in Panel A, Moving image 2). Transoesophageal echo (TEE) confirmed good function of both valves, but the prosthetic mitral valve (red arrow) caused obstruction of ...

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Interventions for valvular diseaseTAVIMitral valve replacement and repairTools, devices and techniquesTools, devices and techniques
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