Transcatheter ACURATE-TA aortic valve implantation in a patient with a previous mechanical mitral valve

Rodrigo Bagur; Bob Kiaii; Patrick J. Teefy; Pantelis Diamantouros; Christopher Harle; Aashish Goela; Ian Chan; Michael W.A. Chu

doi:10.1016/j.athoracsur.2015.06.116

Transcatheter ACURATE-TA aortic valve implantation in a patient with a previous mechanical mitral valve

Rodrigo Bagur, Bob Kiaii, Patrick J. Teefy, Pantelis Diamantouros, Christopher Harle, Aashish Goela, Ian Chan, Michael W.A. Chu

Research output: Contribution to journal › Article › peer-review

Abstract

Transcatheter aortic valve implantation (TAVI) in the presence of a mechanical mitral valve (MMV) prosthesis is still challenging because of the rigid mitral frame within the aortomitral curtain. Moreover, low-lying coronary ostia represent a hazardous problem of coronary obstruction, especially in narrow or porcelain aortic roots. The present case demonstrates the successful management of 2 challenging anatomical issues, the rigid cage of the MMV and the low-lying left main coronary ostium (LMCO), with the implantation of the ACURATE-TA bioprosthesis (Symetis SA, Ecublens, Switzerland). It also highlights the importance of having multiple TAVI devices in order to choose the ideal transcatheter aortic bioprosthesis to fit the unique anatomical presentation of the patient.

Original language	English (US)
Pages (from-to)	e115-e117
Journal	Annals of Thoracic Surgery
Volume	100
Issue number	5
DOIs	https://doi.org/10.1016/j.athoracsur.2015.06.116
State	Published - Nov 2015
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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Transcatheter ACURATE-TA aortic valve implantation in a patient with a previous mechanical mitral valve. / Bagur, Rodrigo; Kiaii, Bob; Teefy, Patrick J.; Diamantouros, Pantelis; Harle, Christopher; Goela, Aashish; Chan, Ian; Chu, Michael W.A.

In: Annals of Thoracic Surgery, Vol. 100, No. 5, 11.2015, p. e115-e117.

Research output: Contribution to journal › Article › peer-review

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abstract = "Transcatheter aortic valve implantation (TAVI) in the presence of a mechanical mitral valve (MMV) prosthesis is still challenging because of the rigid mitral frame within the aortomitral curtain. Moreover, low-lying coronary ostia represent a hazardous problem of coronary obstruction, especially in narrow or porcelain aortic roots. The present case demonstrates the successful management of 2 challenging anatomical issues, the rigid cage of the MMV and the low-lying left main coronary ostium (LMCO), with the implantation of the ACURATE-TA bioprosthesis (Symetis SA, Ecublens, Switzerland). It also highlights the importance of having multiple TAVI devices in order to choose the ideal transcatheter aortic bioprosthesis to fit the unique anatomical presentation of the patient.",

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AU - Harle, Christopher

AU - Goela, Aashish

AU - Chan, Ian

AU - Chu, Michael W.A.

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