The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for valvular disease and heart failure

Transcatheter aortic valve implantation after transcatheter mitral valve implantation

EuroIntervention 2020;16:430-431. DOI: 10.4244/EIJ-D-19-00690

1. Department of Cardiothoracic Surgery, Heart Center of the University of Cologne, Cologne, Germany; 2. General and Interventional Cardiology, HDZ NRW Bad Oeynhausen, Ruhr University Bochum, Germany; 3. Department of Cardiology, Heart Center of the University of Cologne, Cologne, Germany

Figure 1. Planning and execution of transcatheter aortic valve implantation. A) Preprocedural CT scan illustrating a protrusion of the CardiAQ prosthesis into the LVOT. B) Preprocedural simulated implantation of Evolut prosthesis (FEops, Belgium). C) Intraprocedural fluoroscopic view with partial deployment of the prosthesis. D) Post-procedural CT scan analysis using 3mensio software (Pie Medical Imaging, Maastricht, the Netherlands) showing the final position of the two prostheses.

A patient was admitted with dyspnoea after prior transcatheter mitral valve implantation (TMVI) (CardiAQ; Edwards Lifesciences, Irvine, CA, USA)1. Echocardiography showed a good result after TMVI but revealed a low-flow low-gradient aortic valve ...

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