Surgical antegrade transcatheter mitral valve implantation for symptomatic mitral valve disease and heavily calcified annulus.

Langhammer, Bettina Michaela; Huber, Christoph; Windecker, Stephan; Carrel, Thierry (2016). Surgical antegrade transcatheter mitral valve implantation for symptomatic mitral valve disease and heavily calcified annulus. European journal of cardio-thoracic surgery, ezw265. Oxford University Press 10.1093/ejcts/ezw265

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Surgical techniques for the treatment of mitral valve disease (MVD) have continuously evolved; however, anatomical details like severe annular calcification remain challenging and require sophisticated surgical strategies. Among patients with symptomatic MVD referred for surgical valve repair or replacement, four presented with circumferential calcification of the mitral annulus precluding conventional surgical techniques. Successful treatment by implanting a balloon-expandable transcatheter aortic heart valve using an antegrade surgical access was performed. The perioperative course and follow-up assessment (19.3 ± 21 months) were uneventful. Echocardiographic assessment confirmed a well-seated valve with normal function (mean 4.5 ± 0.6 mmHg). Surgical mitral valve replacement using a balloon-expandable transcatheter aortic bioprosthesis can be a valuable and attractive bailout strategy in patients with a heavily calcified mitral annulus.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Langhammer, Bettina Michaela; Huber, Christoph; Windecker, Stephan and Carrel, Thierry

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1010-7940

Publisher:

Oxford University Press

Language:

English

Submitter:

Daniela Huber

Date Deposited:

07 Nov 2016 17:03

Last Modified:

07 Nov 2016 17:03

Publisher DOI:

10.1093/ejcts/ezw265

PubMed ID:

27678337

Uncontrolled Keywords:

Bailout technique; Mitral valve; Replacement; Valve disease

BORIS DOI:

10.7892/boris.89178

URI:

https://boris.unibe.ch/id/eprint/89178

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