• EuroIntervention · Sep 2016

    Review

    Mitral valve-in-valve and valve-in-ring: technical aspects and procedural outcomes.

    • Danny Dvir and John Webb.
    • University of Washington Medical Center, Seattle, WA, USA.
    • EuroIntervention. 2016 Sep 18; 12 (Y): Y93-6.

    AbstractThere is a growing practice of transcatheter treatment of failed mitral valves after cardiac surgery, including valve-in-valve and valve-in-ring. Although commonly successful, these procedures can be associated with device malposition (including delayed malposition) and elevated post-procedural gradients (especially when performed inside small surgical valves). Valve-in-ring procedures have elevated risks of left ventricular outflow tract obstruction and post-procedural regurgitation. Careful patient selection and meticulous evaluation of patient anatomy and surgical implant characteristics are essential to achieve optimal clinical results with mitral valve-in-valve and valve-in-ring implantation.

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