Open-heart transseptal transcatheter mitral valve implantation with mitral annular calcification.
Left ventricular outflow tract obstruction
Mitral annular calcification
Mitral valve replacement
Sapien 3
Transcatheter mitral valve implantation
Transseptal approach
Journal
Journal of cardiology cases
ISSN: 1878-5409
Titre abrégé: J Cardiol Cases
Pays: Japan
ID NLM: 101549579
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
06
02
2020
revised:
07
06
2020
accepted:
12
06
2020
entrez:
2
11
2020
pubmed:
3
11
2020
medline:
3
11
2020
Statut:
epublish
Résumé
Mitral valve replacement (MVR) using a prosthesis of transcatheter aortic valve implantation for mitral annular calcification (MAC) is an alternative procedure which is very different from a conventional MVR and is safe. Acceptable results including mortality and morbidity have been reported. We report the case of a male patient treated with this procedure. There was a risk of left ventricular rupture due to extensive decalcification, so we performed transcatheter mitral valve implantation (TMVI). Since he had a history of surgical aortic valve replacement (AVR), we chose open-heart transseptal approach so as not to interfere with the aortic prosthesis. TMVI has a risk of an iatrogenic left ventricular outflow tract (LVOT) obstruction. Using open-heart transseptal approach, we could easily check an anterior commissure of mitral annulus to prevent LVOT obstruction. <
Identifiants
pubmed: 33133310
doi: 10.1016/j.jccase.2020.06.017
pii: S1878-5409(20)30078-5
pmc: PMC7588478
doi:
Types de publication
Journal Article
Langues
eng
Pagination
207-209Informations de copyright
© 2020 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
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