TY - JOUR
AU1 - Sarı, Cenk
AU2 - Baştuğ, Serdal
AU3 - Ayhan, Hüseyin
AU4 - Kasapkara, Hacı Ahmet
AU5 - Durmaz, Tahir
AU6 - Keleş, Telat
AU7 - Akçay, Murat
AU8 - Aslan, Abdullah Nabi
AU9 - Bayram, Nihal Akar
AU1 - Bozkurt, Engin
AB - IntroductionTranscatheter aortic valve implantation for severe symptomatic aortic stenosis in patients with a previous mitral valve prosthesis is technically challenging, and pre-procedural comprehensive assessment of these patients before transcatheter aortic valve implantation is vital for an uncomplicated and successful procedure.AimWe want to share our experience with transcatheter aortic valve implantation in patients with a preexisting functional mitral valve prosthesis and describe a series of important technical and pre-procedural details.Material and methodsAt our center, 135 patients with symptomatic severe aortic stenosis were treated with transcatheter aortic valve implantation. Six of them with a preexisting mitral valve prosthesis received an Edwards SAPIEN XT valve through the transfemoral route.ResultsTranscatheter aortic valve implantation was performed successfully in all 6 patients without any deformation of the cobalt-chromium/steel stents of the aortic valve bioprosthesis. Also no distortion or malfunction in the mitral valve prosthesis was observed after the procedure. There were no complications during the hospitalization period. Post-procedural echocardiography revealed no or mild aortic paravalvular regurgitation and normal valve function in all the patients. In addition, serial echocardiographic examination demonstrated that both the stability and function of the aortic and mitral prosthetic valves were normal without any deterioration in the gradients and the degree of the regurgitation at long-term follow-ups.ConclusionsOur experience confirms that transcatheter aortic valve implantation is technically feasible in patients with previous mitral valve replacement but comprehensive evaluation of patients by multimodal imaging techniques such as transesophageal echocardiography and multislice computed tomography is mandatory for a successful and safe procedure.
TI - Transfemoral aortic valve implantation in severe aortic stenosis patients with prior mitral valve prosthesis
JF - Postępy w Kardiologii Interwencyjnej = Advances in Interventional Cardiology
DO - 10.5114/pwki.2015.55601
DA - 2015-01-12
UR - https://www.deepdyve.com/lp/pubmed-central/transfemoral-aortic-valve-implantation-in-severe-aortic-stenosis-8jooSVtNW7
SP - 304
EP - 311
VL - 11
IS - 4
DP - DeepDyve
ER -