Key result
A balloon expandable transcatheter valve deployed on cardiopulmonary bypass via a trans-atrial approach successfully treated two cases of severe mitral disease with marked annular calcification.
Why the study?
Severe mitral annular calcification in aging, comorbid patients presents technical challenges due to risk of atrioventricular disruption, which carries high operative mortality.
Population
Two patients with severe mitral disease and marked annular calcification
Comparison
Balloon expandable transcatheter valve deployed on cardiopulmonary bypass via a trans-atrial approach
Design
Case series
Authors
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Hypothesis-generating for trans-atrial balloon-expandable mitral valve use in annular calcification; prospective trials needed before clinical consideration.
Case Report (n=2)
Surgical transcatheter valve implantation via a trans-atrial approach on cardiopulmonary bypass may be a feasible treatment option for patients with severe mitral disease and marked annular calcification.
Jeganathan et al. (2019) conducted a case report in Severe mitral disease with marked annular calcification (n=2). Balloon expandable transcatheter valve deployed on cardiopulmonary bypass via a trans-atrial approach was evaluated on Successful treatment. A balloon expandable transcatheter valve deployed on cardiopulmonary bypass via a trans-atrial approach successfully treated two cases of severe mitral disease with marked annular calcification.
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