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Transapical mitral valve‐in‐valve procedure with elective venoarterial ECMO in a patient with severe kyphoscoliosis
Author(s) -
Franzese Ilaria,
Cetera Vera,
Pesarini Gabriele,
Onorati Francesco,
Ribichini Flavio L.,
Faggian Giuseppe,
Milano Aldo D.
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14949
Subject(s) - medicine , kyphoscoliosis , mitral valve replacement , hemodynamics , critically ill , mitral valve , extracorporeal membrane oxygenation , cardiology , surgery , scoliosis
Transcatheter mitral valve‐in‐valve replacement (TMVR) is a feasible alternative in high‐risk patients requiring reoperation for failing mitral bioprosthesis. Such patients may present with hemodynamic instability or sudden complications, which may jeopardize the outcomes. We report a successful transapical TMVR in a patient, with severe kyphoscoliosis and on prolonged mechanical ventilation, with prophylactic extracorporeal membrane oxygenator support. This combined procedure may be helpful to reduce the complications of TMVR in critically ill subjects.

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