TY - JOUR
T1 - First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis
T2 - How To Do It
AU - Poon, Karl K.C.
AU - Clarke, Andrew
AU - Luis, Sushil A.
AU - Wiemers, Paul
AU - Incani, Alexander
AU - Scalia, Gregory
AU - Tesar, Peter
AU - Raffel, Owen Christopher
AU - Aroney, Constantine N.
AU - Walters, Darren L.
PY - 2012/11/1
Y1 - 2012/11/1
N2 - Transcatheter aortic valve replacements lower mortality in patients not suitable for surgical valve replacement compared to conservative treatment. Transcatheter valve-in-valve implants have been shown to be feasible in failed bioprostheses in aortic, mitral, pulmonary and tricuspid positions. We report the first Australasian experience of a transapical mitral valve-in-valve placement with an Edwards Sapien® transcatheter valve for a failed mitral bioprosthesis, focussing on the technical aspects of this novel procedure. Whilst the evidence for this niche indication is limited currently to case reports and case series, further evaluation of its long term outcomes may justify its use in this particularly high risk group of re-do sternotomy patients.
AB - Transcatheter aortic valve replacements lower mortality in patients not suitable for surgical valve replacement compared to conservative treatment. Transcatheter valve-in-valve implants have been shown to be feasible in failed bioprostheses in aortic, mitral, pulmonary and tricuspid positions. We report the first Australasian experience of a transapical mitral valve-in-valve placement with an Edwards Sapien® transcatheter valve for a failed mitral bioprosthesis, focussing on the technical aspects of this novel procedure. Whilst the evidence for this niche indication is limited currently to case reports and case series, further evaluation of its long term outcomes may justify its use in this particularly high risk group of re-do sternotomy patients.
KW - Heart catheterization
KW - Heart valve prosthesis
KW - Heart valve prosthesis implantation
KW - Mitral valve
KW - Mitral valve insufficiency
KW - Prosthesis failure
KW - Transcatheter aortic valve replacements
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U2 - 10.1016/j.hlc.2012.04.006
DO - 10.1016/j.hlc.2012.04.006
M3 - Article
C2 - 22595453
AN - SCOPUS:84868704289
SN - 1443-9506
VL - 21
SP - 737
EP - 739
JO - Heart Lung and Circulation
JF - Heart Lung and Circulation
IS - 11
ER -