TY - JOUR
T1 - Transcatheter ACURATE-TA aortic valve implantation in a patient with a previous mechanical mitral valve
AU - Bagur, Rodrigo
AU - Kiaii, Bob
AU - Teefy, Patrick J.
AU - Diamantouros, Pantelis
AU - Harle, Christopher
AU - Goela, Aashish
AU - Chan, Ian
AU - Chu, Michael W.A.
PY - 2015/11
Y1 - 2015/11
N2 - 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.
AB - 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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U2 - 10.1016/j.athoracsur.2015.06.116
DO - 10.1016/j.athoracsur.2015.06.116
M3 - Article
C2 - 26522576
AN - SCOPUS:84945909649
VL - 100
SP - e115-e117
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 5
ER -