Is There Currently a Place for Combined Mitral and Aortic Transcatheter Interventions?

• Published in: Current cardiology reports Vol. 21; no. 10; p. 129
• Main Authors: De Palma, Rodney, O’Sullivan, Crochan J., Settergren, Magnus
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.10.2019
• Subjects: Adult; Aortic Valve; Cardiology; Heart Valve Diseases - surgery; Heart Valve Prosthesis Implantation; Humans; Medicin och hälsovetenskap; Medicine; Medicine & Public Health; Mitral Valve; Mitral Valve Insufficiency - surgery; Section Editors; Structural Heart Disease (RJ Siegel and NC Wunderlich; Topical Collection on Structural Heart Disease; Transcatheter Aortic Valve Replacement; Combined valve disease; Multiple valve disease; Transcatheter intervention; Multivalve
• ISSN: 1523-3782; 1534-3170; 1534-3170
• DOI: 10.1007/s11886-019-1205-x

Purpose of Review The goal was to evaluate published data on the incidence, diagnosis, and management of symptomatic combined mitral and aortic valvular disease. Furthermore, to identify the role of treatment using contemporary transcatheter techniques. Recent Findings Up to a quarter of symptomatic adult valvular disease is caused by multiple left-sided valvular lesions. The etiologic spectrum of this combined disease has shifted from rheumatic to degenerative. Both presentation and diagnosis of lesions are modified compared with isolated disease. Based upon narrative review, there are only limited observational experiences, insufficient to provide robust guidance. These data, however, indicate the feasibility of interventions such as transcatheter aortic valve replacement and edge-to-edge mitral valve repair to treat such disease and mitigate the risks of open surgery. Summary Combined aortic and mitral valve disease is commonly encountered. There is a role for transcatheter interventions based on limited data; however, more research is needed.