title: Concomitant transapical treatment of aortic stenosis and degenerated mitral bioprosthesis with two 29 mm Edwards Sapien XT prostheses.
abstract: An 85-year-old woman was admitted to our institution for effort dyspnea. She had a history of mitral valve replacement with a 29 mm Carpentier-Edwards bioprosthesis (Edwards Lifesciences). Transthoracic echocardiography (TTE) showed aortic stenosis and senescence of the mitral bioprosthesis. The heart team opted for a transapical transcatheter aortic valve implantation (TAVI) and mitral valve-in-valve implantation (m-ViV). Two Edwards Sapien XT (ESXT) 29 mm devices were selected. To our knowledge, this is the first description of the concomitant transapical implantation of two 29 mm ESXTs for a combination of failed mitral bioprosthesis and native aortic stenosis.
authors.affiliation: Unitè de Cardiologie Interventionelle, Clinique Pasteur, 45 Avenue de Lombez, 31076 Toulouse, France. leo.misuraca@gmail.com.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Misuraca
authors.forename: Bruno
authors.initials: B
authors.lastname: Farah
authors.forename: Didier
authors.initials: D
authors.lastname: Tchetche
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D001705:Bioprosthesis / Q000145:classification*; D015897:Comorbidity; D017548:Echocardiography, Transesophageal; D005260:Female; D006337:Heart Murmurs / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000145:classification*; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D011475:Prosthesis Failure / Q000009:adverse effects; D016896:Treatment Outcome