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Rudzinski, PN; Mach, M; Gross, C; Andreas, M.
Complex transcatheter aortic valve replacement in aortic regurgitation and transcatheter mitral annuloplasty in severe dextrocardia
EUR J CARDIO-THORAC. 2021; 60(4): 997-999. Doi: 10.1093/ejcts/ezab124
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Co-authors Med Uni Graz: Andreas Martin
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Abstract:: 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.
Find related publications in this database (Keywords): Aortic regurgitation; Dextrocardia; Mitral valve regurgitation; Transcatheter aortic valve replacement; Transcatheter mitral valve repair