title: Transjugular approach in valve-in-valve transcatheter mitral valve replacement: direct route to the valve.
abstract: With the recent emergence of transcatheter valve replacement, high-risk cases of structural valve deterioration after mitral bioprosthesis can be treated with valve-in-valve transcatheter mitral valve replacement (TMVR). The transapical approach has become the principal access for TMVR, but we report an alternative direct access for TMVR--transjugular transseptal route--in an 81-year-old woman with a degenerated mitral bioprosthesis.
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Kaneko
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
authors.forename: JaBaris D
authors.initials: JD
authors.lastname: Swain
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
authors.forename: Dan
authors.initials: D
authors.lastname: Loberman
authors.affiliation: Division of Cardiovascular Medicine, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
authors.forename: Frederick G P
authors.initials: FG
authors.lastname: Welt
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Davidson
authors.affiliation: Division of Cardiovascular Medicine, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts. Electronic address: aeisenhauer@partners.org.
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Eisenhauer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006328:Cardiac Catheterization; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008943:Mitral Valve / Q000601:surgery*