title: Three-dimensional transesophageal echocardiography assessment of a successful transcatheter mitral valve in valve implantation for degenerated bioprosthesis.
abstract: Reoperation for degenerated mitral bioprosthesis is considered a high risk procedure. Transcatheter mitral valve in valve implantation has emerged as an off-label alternative for patients contra-indicated to surgery. We report a 46-year-old man, with a 29 mm mitral bioprosthesis since 2002, who was admitted for acute heart failure because of a severe intra-prosthetic regurgitation. His recent medical history revealed a fast growing cavum carcinoma. In view of generally poor prognosis, the heart team decided to perform a transcatheter mitral valve in valve implantation by transapical approach. Live three-dimensional TEE was used during the implantation for sizing, device positioning, and hemodynamic assessment.
authors.affiliation: Department of Cardiac Surgery, La Timone Hospital, Marseille, France. alexis.theron@ap-hm.fr
authors.forename: Alexis
authors.initials: A
authors.lastname: Théron
authors.forename: Vlad
authors.initials: V
authors.lastname: Gariboldi
authors.forename: Dominique
authors.initials: D
authors.lastname: Grisoli
authors.forename: Laurie-anne
authors.initials: LA
authors.lastname: Maysou
authors.forename: Nicolas
authors.initials: N
authors.lastname: Jaussaud
authors.forename: Pierre
authors.initials: P
authors.lastname: Morera
authors.forename: Thomas
authors.initials: T
authors.lastname: Cuisset
authors.forename: Jacques
authors.initials: J
authors.lastname: Quilici
authors.forename: Franck
authors.initials: F
authors.lastname: Thuny
authors.forename: Alberto
authors.initials: A
authors.lastname: Riberi
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Avierinos
authors.forename: Frederic
authors.initials: F
authors.lastname: Collart
mesh_terms: D001705:Bioprosthesis / Q000009:adverse effects*; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000209:etiology / Q000517:prevention & control*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome
keywords: 3DTEE; TAVI; degenerated bioprosthesis; valve in valve