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Three‐Dimensional Transesophageal Echocardiography Assessment of a Successful Transcatheter Mitral Valve in Valve Implantation for Degenerated Bioprosthesis
Author(s) -
Théron Alexis,
Gariboldi Vlad,
Grisoli Dominique,
Maysou Laurieanne,
Jaussaud Nicolas,
Morera Pierre,
Cuisset Thomas,
Quilici Jacques,
Thuny Franck,
Riberi Alberto,
Avierinos JeanFrançois,
Collart Frederic
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12177
Subject(s) - medicine , mitral regurgitation , mitral valve , cardiology , mitral valve replacement , heart valve , surgery
Reoperation for degenerated mitral bioprosthesis is considered a high risk procedure. Transcatheter mitral valve in valve implantation has emerged as an off‐label alternative for patients contra‐indicated to surgery. We report a 46‐year‐old man, with a 29 mm mitral bioprosthesis since 2002, who was admitted for acute heart failure because of a severe intra‐prosthetic regurgitation. His recent medical history revealed a fast growing cavum carcinoma. In view of generally poor prognosis, the heart team decided to perform a transcatheter mitral valve in valve implantation by transapical approach. Live three‐dimensional TEE was used during the implantation for sizing, device positioning, and hemodynamic assessment.

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