Transcatheter Mitral "Valve-in-Ring" Implantation: A Word of Caution

被引:15
作者
Allende, Ricardo [1 ]
Doyle, Daniel [1 ]
Urena, Marina [1 ]
Ribeiro, Henrique B. [1 ]
Amat-Santos, Ignacio J. [1 ]
Bernier, Mathieu [1 ]
Pasian, Sergio [1 ]
DeLarochelliere, Robert [1 ]
Dumont, Eric [1 ]
Rodes-Cabau, Josep [1 ]
机构
[1] Univ Laval, Quebec Heart & Lung Inst, Quebec City, PQ, Canada
关键词
ANNULOPLASTY;
D O I
10.1016/j.athoracsur.2014.06.083
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Transcatheter mitral valve-in-valve and valve-in-ring procedures have emerged as a potential alternative for patients with failed mitral bioprosthesis or mitral valve repair who are at very high or prohibitive surgical risk. However, transcatheter mitral valve-in-ring implantation (TMViRI) remains a challenging procedure, partially because of the oval shape of mitral rings, which may lead to prosthesis dysfunction when the ring is not able to adopt the circular shape of the transcatheter valve. We present a case of failed TMViRI in a dysfunctional mitral homograft. The potential factors leading to procedural failure are discussed. (C) 2015 by The Society of Thoracic Surgeons
引用
收藏
页码:1439 / 1442
页数:5
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