Transjugular and transseptal treatment of a degenerated mitral

Heart, lung & circulation · Dec 2012

Case Reports

Transjugular and transseptal treatment of a degenerated mitral valve prosthesis with a balloon-expandable biological valve.

In selected high-risk patients, trans-catheter valve implantation is an emerging therapy for a degenerated bioprosthesis in need of repeated valve replacement. During the last two years, valve-in-valve implantations have mainly been performed in the aortic position and only rarely in the mitral position. Here we describe for the first time the case of a 62 year-old female with severe mitral regurgitation of a degenerated Carpentier Edwards bioprosthesis treated by transjugular, transseptal implantation of a SAPIEN-XT valve. In conclusion this case, together with previous reports, show the feasibility and safety of percutaneous valve-in-valve implantations to treat a degenerated bioprosthesis.

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- Ulrich Schaefer, Christian Frerker, Cord Busse, and Karl-Heinz Kuck.
- Department of Cardiology, AK St. Georg Hospital, Hamburg, Germany. ul.schaefer@asklepios.com
- Heart Lung Circ. 2012 Dec 1; 21 (12): 836-40.
AbstractIn selected high-risk patients, trans-catheter valve implantation is an emerging therapy for a degenerated bioprosthesis in need of repeated valve replacement. During the last two years, valve-in-valve implantations have mainly been performed in the aortic position and only rarely in the mitral position. Here we describe for the first time the case of a 62 year-old female with severe mitral regurgitation of a degenerated Carpentier Edwards bioprosthesis treated by transjugular, transseptal implantation of a SAPIEN-XT valve. In conclusion this case, together with previous reports, show the feasibility and safety of percutaneous valve-in-valve implantations to treat a degenerated bioprosthesis.Copyright © 2012. Published by Elsevier B.V.

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Transjugular and transseptal treatment of a degenerated mitral valve prosthesis with a balloon-expandable biological valve.

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