Transcatheter mitral valve implantation in severe mitral annular calcification: a case report
Key result
Transcatheter mitral valve implantation (valve-in-MAC) was feasible in an 83-year-old woman with severe mitral annular calcification, though significant paravalvular leak required a plug.
Why the study?
Mitral annular calcification is technically challenging for both surgical and percutaneous approaches and is burdened by high mortality.
Population
An 83-year-old lady with severe mitral annular calcification not suitable for surgery
Comparison
Transcatheter mitral valve implantation (valve-in-MAC) with plug implantation
Design
Case report
Authors
Discussion
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Member takes
Implication
Supports valve-in-MAC feasibility with adjunctive plug; leaves open durability, safety, and generalizability in non-surgical mitral annular calcification.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
An 83-year-old woman with severe mitral annular calcification and multiple comorbidities, deemed unsuitable for surgery, who underwent transcatheter mitral valve implantation.
I
Intervention
Transcatheter mitral valve implantation (valve-in-MAC) followed by implantation of a plug for paravalvular leak.
O
Outcome
Procedural feasibility and success
Transcatheter mitral valve implantation (valve-in-MAC) is a feasible but technically challenging alternative for patients with severe mitral annular calcification who are not surgical candidates.
Cite This Study
Russo et al. (2024) conducted a case report in Severe mitral annular calcification (n=1). Transcatheter mitral valve implantation (valve-in-MAC) was evaluated. Transcatheter mitral valve implantation (valve-in-MAC) was feasible in an 83-year-old woman with severe mitral annular calcification, though significant paravalvular leak required a plug.