Abstract

Case Report

Single Trans apical access for double aortic and mitral valves-in-valves procedures with high risk of thrombus embolism

Julien Adjedj*, Mathias Kirsch, Anna Nowacka and Olivier Muller

Published: 16 July, 2019 | Volume 4 - Issue 2 | Pages: 071-072

Background: Persistent left atrial thrombus remains a contra indication to transeptal valves in valves procedure. We aimed to perform a double valves in valves replacement through transapical access with cerebral angiography control during the procedure just after implantation. Our case shows the feasibility of this strategy and the management of right ventricle laceration successfully treated after extra corporeal membrane oxygenation implantation and local hemostasis. We reported a feasibility case report of successful double valves in valves implantation through transapical access with 6 months of clinical and computed tomography follow up.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001042 Cite this Article Read Full Article PDF

Keywords:

Valves in valves; Apical access; Right ventricle laceration

References

  1. Ando T, Takagi H, Briasoulis A, Telila T, Slovut DP, et al. A systematic review of reported cases of combined transcatheter aortic and mitral valve interventions. Catheter Cardiovasc Interv. 2018; 91: 124-34. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28862381
  2. Eggebrecht H, Schmermund A, Voigtländer T, Kahlert P, Erbel R, et al. Risk of stroke after transcatheter aortic valve implantation (tavi): A meta-analysis of 10,037 published patients. EuroIntervention. 2012; 8: 129-38. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22391581
  3. Gülker JE, Schott P, Katoh M, Bufe A. Case report: Cerebral stentretreiver thrombectomy of an embolized valve fragment after valve in valve tavi. Clin Res Cardiol 2016; 105: 372-5. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26514354

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