Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Transcatheter Mitral Valve Implantation in Open Heart Surgery: An Off-Label Technique

  • Alfonsi, Jacopo (Department of Cardiovascular Surgery, S.Orsola Hospital, Alma Mater Studiorum - University of Bologna) ;
  • Murana, Giacomo (Department of Cardiovascular Surgery, S.Orsola Hospital, Alma Mater Studiorum - University of Bologna) ;
  • Corsini, Anna (Department of Cardiology, S.Orsola Hospital, Alma Mater Studiorum - University of Bologna) ;
  • Savini, Carlo (Department of Cardiovascular Surgery, S.Orsola Hospital, Alma Mater Studiorum - University of Bologna) ;
  • Di Bartolomeo, Roberto (Department of Cardiovascular Surgery, S.Orsola Hospital, Alma Mater Studiorum - University of Bologna) ;
  • Pacini, Davide (Department of Cardiovascular Surgery, S.Orsola Hospital, Alma Mater Studiorum - University of Bologna)
  • Received : 2017.05.16
  • Accepted : 2017.07.06
  • Published : 2017.12.05
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Abstract

Extensive mitral annulus calcifications are considered a contraindication for valve surgery. We describe the case of a 76-year-old female with severe mitral and aortic stenosis associated with extensive calcifications of the heart. The patient underwent an open mitroaortic valve replacement using transcatheter aortic valve implantation with an Edwards SAPIEN XT valve (Edwards Lifesciences Corp., Irvine, CA, USA) in the mitral position. The aortic valve was replaced using a stentless valve prosthesis (LivaNova S OLO; LivaNova PLC, London, UK). Postoperative echocardiography showed that the prosthetic valve was in the correct position and there were no paravalvular leaks. A bailout open transcatheter valve implantation can be considered a safe and effective option in selected cases with an extensively calcified mitral valve.

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References

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Cited by

  1. Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report vol.15, pp.1, 2017, https://doi.org/10.1186/s13019-020-1083-8