Valve-in-valve transcatheter aortic valve implantation overcoming hostile anatomy: Evolut R for the treatment of Mitroflow bioprosthesis dysfunction

被引:0
|
作者
Ruparelia N. [1 ,2 ,3 ]
Colombo A. [1 ,3 ]
Latib A. [1 ,3 ]
机构
[1] San Raffaele Scientific Institute, Milan
[2] Imperial College, London
[3] EMO-GVM Centro Cuore Columbus, Via Buonarroti 48, Milan
关键词
Coronary obstruction; Evolut R; Mitroflow; Transcatheter aortic valve implantation; Valve-in-valve;
D O I
10.1007/s12928-015-0354-0
中图分类号
学科分类号
摘要
Redo surgery is regarded as the first-line treatment option for patients presenting with prosthetic valve degeneration. However, many patients have concomitant co-morbidities and this option is associated with significant risk. Transcatheter valve-in-valve implantation is an alternative strategy depending on the bioprosthetic valve that is being treated. The Sorin Mitroflow bioprosthetic aortic valve has been regarded as a contraindication to valve-in-valve treatment due to the high risk of coronary obstruction. We here present the case of a patient with small peripheral vasculature who underwent successful transfemoral valve-in-valve implantation and subsequently discuss the challenges and technical aspects that require consideration. © 2015, Japanese Association of Cardiovascular Intervention and Therapeutics.
引用
收藏
页码:292 / 295
页数:3
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