Interventions for valvular disease and heart failure

Transapical transcatheter mitral valve implantation in patients with prior aortic valve replacement: a feasibility report

EuroIntervention 2021;17:257-259. DOI: 10.4244/EIJ-D-19-00947

Maurizio Taramasso
Maurizio Taramasso1, MD; Paul Sorajja2, MD; Gry Dahle3, MD; Nicolas Dumonteil4, MD; Ulrich Schäfer5, MD; Thomas Modine6, MD; Pavel Overtchouk6, MD; Augustin Coisne6, MD; Georg Nickenig7, MD; Vasilis Babaliaros8, MD; Ahmed A. Khattab1,9,10, MD; Sebastian Ludwig5, MD; Lenard Conradi5, MD
1. University Hospital of Zurich, University of Zurich, Zurich, Switzerland; 2. Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, MN, USA; 3. Department of Cardiothoracic Surgery, Oslo University, Oslo, Norway; 4. Clinique Pasteur, Toulouse, France; 5. University Heart Center, Hamburg, Germany; 6. Cardiovascular Surgery Department, Cœur Poumon CHU de Lille, Lille, France; 7. Heart Center Bonn, University Hospital, Bonn, Germany; 8. Emory Structural Heart and Valve Center, Atlanta, GA, USA; 9. Cardiance Clinic, Pfäffikon, Switzerland; 10. University of Bern, Bern, Switzerland

Transcatheter mitral valve implantation (TMVI) has recently emerged as a treatment option for selected high-risk patients with symptomatic mitral regurgitation (MR).

Although the feasibility of TMVI in patients with previous aortic valve (AV) prostheses has been reported1, the interaction between a TMVI and an AV prosthesis has not previously been well characterised. In particular, the risk of left ventricular outflow tract (LVOT) obstruction after TMVI may be higher in patients with a pre-existing aortic valve prosthesis, due to the presence of concomitant LV hypertrophy. Moreover, the frame of the aortic prosthesis can extend into the LVOT, and ...

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Interventions for valvular diseaseInterventions for heart failureMitral valve replacement and repairChronic heart failure
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