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