Complex transcatheter aortic valve replacement in aortic regurgitation and transcatheter mitral annuloplasty in severe dextrocardia

• Published in: European journal of cardio-thoracic surgery Vol. 60; no. 4; pp. 997 - 999
• Main Authors: Rudziński, Piotr Nikodem, Mach, Markus, Gross, Christoph, Andreas, Martin
• Format: Journal Article
• Language: English
• Published: Germany Oxford University Press 22.10.2021
• Subjects: Transcatheter mitral valve repair; Mitral valve regurgitation; Aortic regurgitation; Dextrocardia; Transcatheter aortic valve replacement
• ISSN: 1010-7940; 1873-734X
• DOI: 10.1093/ejcts/ezab124

Abstract A 70-year-old female with symptomatic severe native aortic regurgitation, acquired dextrocardia, moderate-to-severe secondary mitral regurgitation and prohibitive surgical risk was admitted for transcatheter aortic valve replacement. A balloon-expendable Sapien 3 Ultra valve was implanted successfully. After 6 months, the patient remained symptomatic due to the concomitant moderate-to-severe secondary mitral regurgitation. Transcatheter mitral valve repair using a Carillon Mitral Contour System was performed resulting in a significant reduction of mitral regurgitation and uneventful follow-up. Most importantly, other transcatheter repair techniques would not have been feasible due to the impossible transoesophageal echocardiography guidance. This is the first case of transcatheter aortic valve replacement in a patient with native aortic regurgitation, acquired dextrocardia and severe aortic annulus malrotation using a balloon-expendable valve. Moreover, it is the first transcatheter mitral valve repair procedure using Carillon device performed by a cardiac surgeon.