Key result
Concomitant transapical TAVR and balloon mitral valvuloplasty is feasible with zero procedural complications.
Why the study?
Concomitant transapical transcatheter aortic valve replacement and transapical balloon mitral valvuloplasty had not been previously reported for treating severe aortic stenosis with severe mitral stenosis.
Is concomitant TA-TAVR and TA-BMV safe and feasible in a patient with severe rheumatic aortic and mitral stenosis?
Case Report (n=1)
No
Is concomitant TA-TAVR and TA-BMV safe and feasible in a patient with severe rheumatic aortic and mitral stenosis?
Concomitant TA-TAVR and TA-BMV through a single transapical approach may be a feasible and safe option for high-risk patients with severe rheumatic aortic and mitral stenosis.
This paper reports concomitant transapical transcatheter aortic valve replacement (TA-TAVR) and transapical balloon mitral valvuloplasty (TA-BMV) for the first time. A 72-year-old man with a diagnosis of rheumatic severe aortic stenosis with mild insufficiency and rheumatic severe mitral stenosis with mild insufficiency was referred to the Department of Cardiac Surgery of Guangdong Provincial People's Hospital. After the interdisciplinary discussion in the heart team (cardiac surgeon, cardiologist, anesthesiologist and image specialist), we decided to perform concomitant TAVR and BMV through one transapical approach considering the patient's preference, NYHA class IV heart failure, and the calculated perioperative risk (Euroscore II 3.74%, STS score for the combined mitral and aortic procedure is not available). No intraoperative or postoperative complications were observed.
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Peijian et al. (2021) conducted a case report in Rheumatic severe aortic stenosis and severe mitral stenosis (n=1). Concomitant transapical transcatheter aortic valve replacement (TA-TAVR) and transapical balloon mitral valvuloplasty (TA-BMV) was evaluated on Intraoperative or postoperative complications. Concomitant transapical transcatheter aortic valve replacement and balloon mitral valvuloplasty was successfully performed with no intraoperative or postoperative complications.
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