Korean J Thorac Cardiovasc Surg.  2017 Dec;50(6):467-470. 10.5090/kjtcs.2017.50.6.467.

Transcatheter Mitral Valve Implantation in Open Heart Surgery: An Off-Label Technique

• Alfonsi J
• Murana G
• Corsini A
• Savini C
• Di Bartolomeo R
• Pacini D

• KMID: 2398381
• DOI: http://doi.org/10.5090/kjtcs.2017.50.6.467

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 SOLO; 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.

Keyword

Mitral valve; Ventricle; Calcifications; Aortic valve; Heart valve prosthesis

MeSH Terms

Aged
Aortic Valve
Aortic Valve Stenosis
Echocardiography
Female
Heart Valve Prosthesis
Heart*
Humans
Mitral Valve*
Prostheses and Implants
Thoracic Surgery*
Transcatheter Aortic Valve Replacement