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Core valve implant failure in the presence of mechanical mitral prosthesis: Importance of assessing left ventricular outflow tract
Author(s) -
Sarkar Kunal,
Speciale Giulio,
Ussia Gian Paolo
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25376
Subject(s) - medicine , implant , prosthesis , ventricular outflow tract , ventricular outflow tract obstruction , aortic root , cardiology , mitral valve , mitral valve replacement , mechanical failure , aortic valve , surgery , aorta
Transcatheter aortic valve replacement in the presence of a mitral prosthetic valve is a technically challenging endeavor. The presence of a mitral prosthesis can alter the geometry of the landing zone for the device. A multi slice computerized tomography with comprehensive review of left ventricular outflow tract and aortic root in its entirety is critical for preventing implant failure. Technical expedients to treat implant failure involve understanding of the device as well its relationship with the mitral prosthesis. © 2014 Wiley Periodicals, Inc.