title: Transfemoral and transseptal valve-in-valve implantation into a failing mitral xenograft with a balloon-expandable biological valve.
abstract: Valve-in-valve implantation for degenerated surgical bioprosthetic valves is becoming an increasingly accepted approach in selected high-risk patients. In the past, valve-in-valve implantations have been mainly performed in aortic position and only rarely in mitral position. We describe the case of an 81-year-old female patient with severe mitral regurgitation of a degenerated Carpentier-Edwards biological prosthesis treated by transfemoral and transseptal implantation of a SAPIEN-XT valve.
authors.affiliation: Division of Cardiology, AK St. Georg Hospital, Hamburg, Germany. ul.schaefer@asklepios.com
authors.forename: Ulrich
authors.initials: U
authors.lastname: Schaefer
authors.forename: Christian
authors.initials: C
authors.lastname: Frerker
authors.forename: Dimitry
authors.initials: D
authors.lastname: Schewel
authors.forename: Thomas
authors.initials: T
authors.lastname: Thielsen
authors.forename: Felix
authors.initials: F
authors.lastname: Meincke
authors.forename: Felix
authors.initials: F
authors.lastname: Kreidel
authors.forename: Karl-Heinz
authors.initials: KH
authors.lastname: Kuck
mesh_terms: D000369:Aged, 80 and over; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000379:methods*; D002406:Catheterization, Peripheral / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D005263:Femoral Artery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods*; D014183:Transplantation, Heterologous