Transapical aortic valve and mitral valve in ring prosthesis implantation – a new advance in transcatheter procedures

Transcatheter valve implantation offers a new treatment modality to those patients whose general condition makes conventional surgery very risky. However, the transcatheter option has only been available for the aortic valve. We describe a case of a successful implantation of two Edwards SAPIEN® 26...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2014-08, Vol.19 (2), p.344-346
Main Authors: Neves, Paulo C., Paulo, Nelson Santos, Gama, Vasco, Vouga, Luís
Format: Article
Language:English
Subjects:
Aged
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - diagnosis
Aortic Valve Stenosis - physiopathology
Aortic Valve Stenosis - therapy
Bioprosthesis
Cardiac Catheterization - instrumentation
Echocardiography, Three-Dimensional
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - methods
Humans
Male
Mitral Valve Annuloplasty - instrumentation
Mitral Valve Annuloplasty - methods
Mitral Valve Stenosis - complications
Mitral Valve Stenosis - diagnosis
Mitral Valve Stenosis - physiopathology
Mitral Valve Stenosis - therapy
Prosthesis Design
Radiography, Interventional
Severity of Illness Index
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Transcatheter valve implantation offers a new treatment modality to those patients whose general condition makes conventional surgery very risky. However, the transcatheter option has only been available for the aortic valve. We describe a case of a successful implantation of two Edwards SAPIEN® 26 and 29 mm transapical valves, respectively, in aortic and mitral positions, on a 74-year-old patient with severe aortic and mitral stenosis. The procedure progressed uneventfully. Predischarge echocardiogram showed a peak aortic gradient of 20 mmHg, mild periprosthetic regurgitation, peak and mean mitral gradients of 12 and 4, respectively, and moderate (II/IV) periprosthetic regurgitation. Indications for transapical valve implantation will rapidly increase in the near future. It is essential to individualize the treatment be applied for each patient, in order to optimize the success of the procedure.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivu137