Transcatheter Aortic Valve Replacement in a Patient With a Previous Bioprosthetic Mitral Valve Replacement: Report of a Delayed Fatal Interaction

Abstract We report on a man with bioprosthetic mitral valve perforation who presented late after transcatheter aortic valve replacement with a balloon-expandable transcatheter heart valve (THV). The protrusion of the commissural strut of the bioprosthetic mitral valve coupled with the low implanted...

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Bibliographic Details
Published inCanadian journal of cardiology Vol. 32; no. 2; pp. 270.e1 - 270.e2
Main Authors Poulin, Frédéric, MD, MSc, Lamarche, Yoan, MD, Le, Van Hoai Viet, MD, Doucet, Michel, MD, Roméo, Philippe, MD, Généreux, Philippe, MD
Format Journal Article
LanguageEnglish
Published England Elsevier Inc 01.02.2016
Subjects
Aged, 80 and over
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - surgery
Bioprosthesis
Cardiovascular
Echocardiography, Transesophageal
Fatal Outcome
Follow-Up Studies
Heart Valve Prosthesis
Humans
Male
Mitral Valve - surgery
Mitral Valve Stenosis - surgery
Prosthesis Failure
Reoperation
Time Factors
Transcatheter Aortic Valve Replacement - methods
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Summary:Abstract We report on a man with bioprosthetic mitral valve perforation who presented late after transcatheter aortic valve replacement with a balloon-expandable transcatheter heart valve (THV). The protrusion of the commissural strut of the bioprosthetic mitral valve coupled with the low implanted THV resulted in repetitive trauma leading to rupture of a mitral leaflet. Potential preventive strategies are discussed. This case illustrates the importance of preprocedural imaging screening and cautious THV deployment in patients with a bioprosthetic mitral valve.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ObjectType-Feature-5
ObjectType-Undefined-1
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ISSN:0828-282X
1916-7075
DOI:10.1016/j.cjca.2015.05.017