title: Transfemoral aortic valve implantation of an Edwards Sapien XT valve in a patient with a mechanical mitral prosthesis.
abstract: A female patient was admitted to our institution because of congestive heart failure. She was affected by severe aortic valve disease (stenosis with regurgitation) and she had a good functioning mechanical mitral valve, implanted 9 years ago. After multidisciplinary team discussion, the patient was refused for surgery and shifted to transfemoral aortic valve implantation. A 23-mm Edwards Sapien XT valve (Edwards Lifesciences, Irvine, California, USA) was successfully implanted by totally percutaneous transfemoral approach with local sedation and spontaneous breathing. Both the prostheses had good function at the end of procedure. We present the images of this case, demonstrating the feasibility of transcatheter balloon-expandable aortic valve implantation even in the presence of a mechanical mitral valve.
authors: Cardiology Clinic, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy. chiara_fraccaro@hotmail.com
authors: Chiara
authors: C
authors: Fraccaro
authors: Giuseppe
authors: G
authors: Tarantini
authors: Massimo
authors: M
authors: Napodano
authors: Valeria
authors: V
authors: Gasparetto
authors: Sabino
authors: S
authors: Iliceto
authors: Gino
authors: G
authors: Gerosa
authors: Giambattista
authors: G
authors: Isabella
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D005260:Female; D005263:Femoral Artery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008946:Mitral Valve Stenosis / Q000601:surgery*; D011474:Prosthesis Design; D016896:Treatment Outcome