First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis: How To Do It

• Published in: Heart, lung & circulation Vol. 21; no. 11; pp. 737 - 739
• Main Authors: Poon, Karl K.C., MBBS, FRACP, Clarke, Andrew, MBBS, FRACS, Luis, Sushil A., MBBS, Wiemers, Paul, MBBS, Incani, Alexander, MBBS, FRACP, Scalia, Gregory, MBBS, FRACP, Tesar, Peter, MBBS, FRACS, FCSANZ, Raffel, Owen Christopher, MBChB, FRACP, Aroney, Constantine N., MBBS, MD, FRACP, FCSANZ, Walters, Darren L., MBBS, MPhil, FRACP, FCSANZ
• Format: Journal Article
• Language: English
• Published: Australia Elsevier B.V 01.11.2012
• Subjects: Aged, 80 and over; Australia; Bioprosthesis; Cardiovascular; Heart catheterization; Heart Valve Prosthesis; Heart valve prosthesis implantation; Heart Valve Prosthesis Implantation - methods; Humans; Male; Mitral valve; Mitral Valve - surgery; Mitral valve insufficiency; Prosthesis Failure; Transcatheter aortic valve replacements; Australia; Mitral valve; Heart valve prosthesis implantation; Heart catheterization; Transcatheter aortic valve replacements; Heart valve prosthesis; Prosthesis failure; Mitral valve insufficiency
• ISSN: 1443-9506; 1444-2892
• DOI: 10.1016/j.hlc.2012.04.006

Transcatheter aortic valve replacements lower mortality in patients not suitable for surgical valve replacement compared to conservative treatment. Transcatheter valve-in-valve implants have been shown to be feasible in failed bioprostheses in aortic, mitral, pulmonary and tricuspid positions. We report the first Australasian experience of a transapical mitral valve-in-valve placement with an Edwards Sapien® transcatheter valve for a failed mitral bioprosthesis, focussing on the technical aspects of this novel procedure. Whilst the evidence for this niche indication is limited currently to case reports and case series, further evaluation of its long term outcomes may justify its use in this particularly high risk group of re-do sternotomy patients.