The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)
Redo transcatheter mitral valve replacement in mitral annular calcification
Jennifer Jdaidani1, MD; Dounia Z. Iskandarani1, MSc; Omar Chaabo1, MD; Walid Gharzeddine1, MD; Gilbert H.L. Tang2, MD, MSc, MBA; Fadi J. Sawaya1, MD
1. Division of Cardiology, American University of Beirut Medical Center, Beirut, Lebanon; 2. Department of Cardiovascular Surgery, Mount Sinai Medical Center, New York, NY, USA
Figure 1. Redo transcatheter mitral valve replacement in mitral annular calcification for early valve failure. A) Severe mitral annular calcification (MAC) on computed tomography (CT). B) Severe MAC on fluoroscopy. C) Transseptal transcatheter mitral valve replacement (TMVR) in MAC using the first SAPIEN 3 valve on fluoroscopy. D) CT planning showing the first failed SAPIEN 3 valve. E) & F) TMVR valve-in-valve SAPIEN 3 26 mm deployment on fluoroscopy. G) & H) TMVR valve-in-valve SAPIEN 3 26 mm on CT scan.
We present the case of a 78-year-old female patient with a history of atrial fibrillation, severe calcific mitral valve stenosis (MS), and recurrent flash ...