title: Transapical 29-mm Edwards SAPIEN-XT aortic valve in a 34-mm mitral annuloplasty ring.
abstract: A 71-year-old woman with severe congestive heart failure and failed mitral valve repair was referred for surgery. Because of her low ejection fraction, a valve-in-ring procedure was suggested. There was a great difference in the given size for the 34-mm Carpentier-Edwards-Physio-Ring and the biggest available transcatheter valve of 29 mm from Edwards. Therefore, we did a "bench test." We expanded a 29-mm Edwards SAPIEN-XT aortic valve in a 34-mm Carpentier-Edwards-Physio-Ring. It fitted well and turned out circular with good coaptation of the leaflets. Thereafter, a successful transapical mitral valve-in-ring implantation on cardiopulmonary bypass was performed, and additional leads for cardiac resynchronization was placed.
authors.affiliation: Department of Cardiothoracic Surgery, Oslo University Hospital, 0424 Oslo, Norway. gdahle@ous-hf.no
authors.forename: Gry
authors.initials: G
authors.lastname: Dahle
authors.forename: Arnt E
authors.initials: AE
authors.lastname: Fiane
authors.forename: Kjell-Arne
authors.initials: KA
authors.lastname: Rein
mesh_terms: D000368:Aged; D001021:Aortic Valve; D002315:Cardiopulmonary Bypass; D005260:Female; D006333:Heart Failure / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D058386:Mitral Valve Annuloplasty / Q000295:instrumentation* / Q000379:methods; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome