期刊
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
卷 60, 期 4, 页码 997-999出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/ejcts/ezab124
关键词
Aortic regurgitation; Dextrocardia; Mitral valve regurgitation; Transcatheter aortic valve replacement; Transcatheter mitral valve repair
A 70-year-old female underwent transcatheter aortic valve replacement and transcatheter mitral valve repair due to severe native aortic regurgitation and moderate-to-severe secondary mitral regurgitation, with successful outcomes and uneventful follow-up.
A 70-year-old female with symptomatic severe native aortic regurgitation, acquired dextrocardia, moderate-to-severe secondary mitral regurgitation and prohibitive surgical risk was admitted for transcatheter aortic valve replacement. A balloon-expendable Sapien 3 Ultra valve was implanted successfully. After 6 months, the patient remained symptomatic due to the concomitant moderate-to-severe secondary mitral regurgitation. Transcatheter mitral valve repair using a Carillon Mitral Contour System was performed resulting in a significant reduction of mitral regurgitation and uneventful follow-up. Most importantly, other transcatheter repair techniques would not have been feasible due to the impossible transoesophageal echocardiography guidance. This is the first case of transcatheter aortic valve replacement in a patient with native aortic regurgitation, acquired dextrocardia and severe aortic annulus malrotation using a balloon-expendable valve. Moreover, it is the first transcatheter mitral valve repair procedure using Carillon device performed by a cardiac surgeon.
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