• Revista médica de Chile · Jan 2021

    Case Reports

    [Percutaneous implantation of an aortic prosthetic valve on a degenerated mitral bioprosthesis. Report of one case].

    • Germán Armijo, Ángel Puentes, Alejandro Ceballos, Mauricio Quezada, Carlos Tamayo, Hernán Donoso, Pablo Ramírez, Christian Backhouse, and Luis Nombela-Franco.
    • Centro de Enfermedades Cardiovasculares, Hospital San Juan de Dios, Santiago, Chile.
    • Rev Med Chil. 2021 Jan 1; 149 (1): 137-141.

    AbstractReintervention of a mitral degenerated bioprosthesis has a high surgical risk, especially in elderly patients with multiple comorbidities. We report a 74 years old female with two previous cardiac surgical procedures and a new structural mitral bioprosthesis deterioration with severe mitral regurgitation. Considering her high-surgical risk, a fully percutaneous treatment was performed with a balloon-expandable aortic valve in mitral position (valve-in-valve) through a transseptal approach with a favorable outcome. This technique is an attractive and effective option with a relatively low rate of complications that could solve this challenging and complex disease.

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