Reoperation due to degenerated bioprostheses is an important factor of high-risk thoracic surgeries. In 2020 ACC/AHA guideline, Valve in Valve (ViV) was recommended for high-risk patient instead of surgical mitral valve replacement. This report described a 77-year-old male patient with a failed mitral bioprosthetic valve, evaluated at high risk of surgery, received a transvenous, transseptal transcatheter mitral valve replacement (TMVR). Tracheal intubation was removed at CCU 3 h after surgery without discomfort such as polypnea. The patient was transferred out of the CCU and discharged on the 3rd day. Compared with transapical access, transvenous transseptal access was less invasive, with shorter duration in CCU and hospitalization.
Citation:
WEI Jiafu, CHEN Fei, MENG Wei, WEI Xin, PENG Yong, LI Qiao, HE Sen, LI Yijian, ZHENG Mingxia, ZHOU Xuan, CHEN Guo, FENG Yuan, CHEN Mao. Valve in Valve transcatheter mitral valve replacement by a transvenous, transseptal access: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(1): 122-124. doi: 10.7507/1007-4848.202012088
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- 4. Prendergast BD, Baumgartner H, Delgado V, et al. Transcatheter heart valve interventions: where are we? Where are we going? Eur Heart J, 2019, 40(5): 422-440.
- 5. Schäfer U, Bader R, Frerker C, et al. Balloon-expandable valves for degenerated mitral xenografts or failing surgical rings. EuroIntervention, 2014, 10(2): 260-268.
- 6. Descoutures F, Himbert D, Maisano , et al. Transcatheter valve-in-ring implantation after failure of surgical mitral repair. Eur J Cardiothorac Surg, 2013, 44(1): e8-e15.