title: Simultaneous transcatheter aortic and mitral valve-in-valve implantation in a patient with degenerated bioprostheses and high surgical risk.
abstract: Transcatheter valve-in-valve implantation is evolving as a promising alternative to reoperative valve replacement in selected high-risk patients, considering the increasing need for redo surgery due to bioprosthetic degeneration in the future. Reoperative double valve replacements are particularly associated with an elevated surgical risk. The transapical access provides the opportunity to approach the aortic and mitral valves during one intervention. We report the case of a successful transcatheter valve-in-valve implantation in the aortic and mitral position within a single procedure.
authors.affiliation: Department of Cardiovascular Surgery, University Heart Center, Hamburg, Germany. m.seiffert@uke.de
authors.forename: M
authors.initials: M
authors.lastname: Seiffert
authors.forename: S
authors.initials: S
authors.lastname: Baldus
authors.forename: L
authors.initials: L
authors.lastname: Conradi
authors.forename: D
authors.initials: D
authors.lastname: Koschyk
authors.forename: J
authors.initials: J
authors.lastname: Schirmer
authors.forename: T
authors.initials: T
authors.lastname: Meinertz
authors.forename: H
authors.initials: H
authors.lastname: Reichenspurner
authors.forename: H
authors.initials: H
authors.lastname: Treede
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome