Abstract
Pre-Operative Imaging Assessment is Mandatory Prior Structural Transcatheter Procedures: a Case of Minimally Invasive Bail-Out Sapien XT Implantation in Mitral Position
Highlights
Degeneration of bioprosthesis may occur in elderly and frail patients with an extremely high risk for redo cardiac surgery
In January 2015 the patient was admitted for syncope with dizziness and vomiting and worsening of shortness of breath; CT head scan, ear-nose-throat evaluation and Holter ECG were normal
Valve-in-valve implantation in mitral position is becoming an increasingly accepted treatment option for patients deemed unsuitable for redo operation [5,6,7,8]
Summary
Pre-Operative Imaging Assessment is Mandatory Prior Structural Transcatheter Procedures: a Case of Minimally Invasive Bail-Out Sapien XT Implantation in Mitral Position. Degeneration of bioprosthesis may occur in elderly and frail patients with an extremely high risk for redo cardiac surgery. Transcatheter valve-in-valve procedures represent a valuable treatment option in high-risk patients [1,2]. Incidental findings may contraindicate the transcatheter procedure. We describe the original case of a patient who was scheduled for transapical mitral valve-in-valve, but due to a left atrial mass underwent mini-invasive surgery with successful direct mitral valve-in-valve delivery and excision of the mass
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