title: Transatrial antegrade approach for double mitral and tricuspid "valve-in-ring" implantation.
abstract: Within the last 5 years, the number of transcatheter aortic valve implantation (TAVI) procedures has increased continuously and, in parallel, the indications for TAVI have expanded (eg, failing surgical valves and rings). Furthermore, alternative TAVI access routes such as transaxillary and transaortic have been applied successfully. We report on, to our knowledge, the first-in-human case of a combined off-pump antegrade transatrial implantation of a transcatheter valve within a mitral and tricuspid annuloplasty ring through an anterolateral minithoracotomy. The patient showed severe mitral valve and tricuspid valve stenosis and regurgitation 15 years after mitral valve repair and 7 years after aortic valve replacement and tricuspid valve repair.
authors.affiliation: Department of Cardiovascular Surgery, Deutsches Herzzentrum München, Technische Universität München, Munich, Germany. mazzitelli@dhm.mhn.de
authors.forename: Domenico
authors.initials: D
authors.lastname: Mazzitelli
authors.forename: Sabine
authors.initials: S
authors.lastname: Bleiziffer
authors.forename: Christian
authors.initials: C
authors.lastname: Noebauer
authors.forename: Hendrik
authors.initials: H
authors.lastname: Ruge
authors.forename: Patrick
authors.initials: P
authors.lastname: Mayr
authors.forename: Anke
authors.initials: A
authors.lastname: Opitz
authors.forename: Peter
authors.initials: P
authors.lastname: Tassani-Prell
authors.forename: Christian
authors.initials: C
authors.lastname: Schreiber
authors.forename: Nicolo
authors.initials: N
authors.lastname: Piazza
authors.forename: Ruediger
authors.initials: R
authors.lastname: Lange
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011474:Prosthesis Design; D013902:Radiography, Thoracic; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*