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You are here: Contents > 2014 > Volume 23 Number 1 January 2014 > CASE REPORT > Simultaneous Transapical Paraprosthetic Leak Occlusion and Valve-in-Valve Implantation into a Degenerated Mitral Bioprosthesis

Simultaneous Transapical Paraprosthetic Leak Occlusion and Valve-in-Valve Implantation into a Degenerated Mitral Bioprosthesis

Alfredo Giuseppe Cerillo1, Massimiliano Mariani2, Mattia Glauber1, Sergio Berti2

Operative Units of 1Cardiac Surgery and 2Cardiology, ‘G. Pasquinucci’ Hospital, Fondazione Toscana Gabriele Monasterio, Massa, Italy

Transcatheter valve-in-valve implantation is an emerging treatment option for high-risk patients with failing mitral bioprostheses. The presence of a paravalvular leak is considered a contraindication to this procedure that would leave the patient with significant residual regurgitation. The case is described of a patient with a severely degenerated 29 mm Carpentier-Edwards mitral bioprosthesis

successfully treated by simultaneous transapical transcatheter valve-in-valve implantation and paraprosthetic leak occlusion. The potential advantages of this approach are discussed.

The Journal of Heart Valve Disease 2014;23:138-141

Simultaneous Transapical Paraprosthetic Leak Occlusion and Valve-in-Valve Implantation into a Degenerated Mitral Bioprosthesis

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