title: Use of an Edwards Sapien S3 valve to replace a dysfunctional mechanical mitral valve in an 11-year old boy: another small step for surgical and interventional collaboration.
abstract: An 11-year old boy, with complex left ventricular morphology in the setting of repaired double outlet right ventricle developed progressive mitral regurgitation leading to a repair which failed, necessitating replacement of the valve with a 21 mm St. Jude mechanical prosthesis. He represented 3 weeks later in extremis with signs of severe mitral stenosis. The valve was replaced via a hybrid technique with a 26 mm Edwards Sapien 3 valve mounted on a MEMO 3D annuloplasty ring. One year later, the valve is functioning well with no regurgitation or evidence of an inflow gradient.
authors.affiliation: Department of Congenital Cardiology, Guys and St Thomas' NHS Foundation Trust, London, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Murphy
authors.affiliation: Department of Congenital Cardiology, Guys and St Thomas' NHS Foundation Trust, London, UK.
authors.forename: Conal
authors.initials: C
authors.lastname: Austin
authors.affiliation: Department of Congenital Cardiology, Guys and St Thomas' NHS Foundation Trust, London, UK.
authors.forename: Vinayak
authors.initials: V
authors.lastname: Bapat
authors.affiliation: Department of Congenital Cardiology, Guys and St Thomas' NHS Foundation Trust, London, UK drgarethjmorgan@gmail.com.
authors.forename: Gareth J
authors.initials: GJ
authors.lastname: Morgan
mesh_terms: D002648:Child; D004452:Echocardiography; D005471:Fluoroscopy; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D011474:Prosthesis Design
keywords: Congenital heart disease; Minimally invasive surgery; Transcatheter valve therapies; Valve disease