October 23, 2010
View Full PaperFirst-in-man implantation of a trans-catheter aortic valve in a mitral annuloplasty ring: novel treatment modality for failed mitral valve repair
Structured PICO
Is trans-catheter implantation of an aortic valve within a failed mitral annuloplasty ring feasible?
P
Population
72-year-old man with ischemic heart failure and failed mitral-valve annuloplasty (n=1)
I
Intervention
Trans-apical trans-catheter implantation of a 26-mm Sapien-Edwards valve within a mitral annuloplasty ring
O
Outcome
Procedural success and feasibility
This case report demonstrates the first-in-man feasibility of trans-catheter valve-in-ring implantation for treating failed mitral annuloplasty.
Abstract
The trans-catheter valve-in-valve concept has become a feasible therapeutic option for patients with failing degenerated bioprosthesis, who are deemed inoperable. However, little is known about the feasibility of this technique in failed valve annuloplasty. We report the first-in-man implantation of a trans-catheter aortic valve within a mitral annuloplasty ring. Through a trans-apical trans-catheter approach, a 26-mm Sapien-Edwards valve was successfully implanted in a 72-year-old man with ischemic heart failure and failed mitral-valve annuloplasty. The present case report provides a critical appraisal of the procedural technique.