Key result
Transapical implantation of a 29-mm Edwards SAPIEN-XT aortic valve in a 34-mm Carpentier-Edwards-Physio-Ring was successfully performed in a patient with failed mitral valve repair.
Case Report (n=1)
No
Demonstrates the feasibility of implanting a 29-mm Edwards SAPIEN-XT transcatheter valve into a significantly larger 34-mm mitral annuloplasty ring.
Feasibility of oversized valve-in-ring shown in one case; leaves open safety, efficacy, and durability in larger cohorts.
A 71-year-old woman with severe congestive heart failure and failed mitral valve repair was referred for surgery. Because of her low ejection fraction, a valve-in-ring procedure was suggested. There was a great difference in the given size for the 34-mm Carpentier-Edwards-Physio-Ring and the biggest available transcatheter valve of 29 mm from Edwards. Therefore, we did a "bench test." We expanded a 29-mm Edwards SAPIEN-XT aortic valve in a 34-mm Carpentier-Edwards-Physio-Ring. It fitted well and turned out circular with good coaptation of the leaflets. Thereafter, a successful transapical mitral valve-in-ring implantation on cardiopulmonary bypass was performed, and additional leads for cardiac resynchronization was placed.
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Dahle et al. (2012) conducted a case report in Severe congestive heart failure and failed mitral valve repair (n=1). Transapical 29-mm Edwards SAPIEN-XT aortic valve in a 34-mm Carpentier-Edwards-Physio-Ring was evaluated on Procedural success. Transapical implantation of a 29-mm Edwards SAPIEN-XT aortic valve in a 34-mm Carpentier-Edwards-Physio-Ring was successfully performed in a patient with failed mitral valve repair.
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