• Laura D Flannery, Robert C Lowery, Xiumei Sun, Lowell Satler, Paul Corso, Augusto Pichard, and Zuyue Wang.
• Georgetown University School of Medicine, Washington, DC 20007, USA.
• Tex Heart Inst J. 2012 Jan 1;39(5):671-5.

AbstractWe report a case of mitral valve replacement in a patient who had previously undergone transcatheter aortic valve implantation. A transseptal approach was used to avoid displacing the aortic prosthesis. Because of the small mitral annulus, a bioprosthetic aortic valve was used in reverse position for mitral valve replacement. The procedure did not interfere with the existing prosthesis, and a follow-up echocardiogram showed that both prosthetic valves were functioning well.To the best of our knowledge, this is the first report of mitral valve replacement in a patient who had a preceding transcatheter aortic valve implantation. We believe that the transseptal approach is promising for mitral valve replacement in such patients. Moreover, using a bioprosthetic aortic valve in reverse position is an option for mitral valve replacement when the mitral annulus is too small for placement of a standard bioprosthetic mitral valve.

30 keywords...

hide…