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Transfemoral transcatheter aortic valve replacement in the presence of a mitral prosthesis
Authors
K. Toutouzas Drakopoulou, M. Latsios, G. Synetos, A. Stathogiannis, K. Soulaidopoulos, S. Oikonomou, G. Trantalis, G. Papanikolaou, A. Aggeli, C. Vavuranakis, M. Mastrokostopoulos, A. Katsimaglis, G. Voudris, V. Dardas, P. Tousoulis, D.
Publication date
1 January 2019
Publisher
Abstract
PurposeIn the current case series, we present our experience with the self-expanding CoreValve or Evolut R (Medtronic Inc.) in patients with severe symptomatic aortic valve stenosis and concomitant mitral valve prosthesis.MethodsTwelve patients with previous mitral valve prosthesis underwent transcatheter aortic valve replacement for severe symptomatic aortic valve stenosis and/or aortic valve regurgitation. All patients underwent evaluation with an echocardiogram, computed tomography and coronary angiogram. After the index intervention and before discharge all patients underwent transthoracic echocardiography. All outcomes were defined according to the Valve Academic Research Consortium-2 criteria. Results Eleven patients underwent transcatheter aortic valve replacement for severe symptomatic aortic valve stenosis and one patient for severe aortic valve regurgitation. There was immediate improvement of patients' hemodynamic status; no cases of procedural death, stroke, myocardial infarction, or urgent cardiac surgery occurred. There was no 30-day mortality and all patients improved, with 91.6% in functional New York Heart Association class I-II. Conclusion The current study demonstrates that in patients with severe aortic valve stenosis or regurgitation and mitral valve prosthesis, the implantation of a self-expanding aortic valve via the transfemoral route is safe and feasible, with maintained long-term results. © 2019 Italian Federation of Cardiology - I.F.C. All rights reserved
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Last time updated on 10/02/2023