title: Transfemoral implantation of CoreValve Evolut-R aortic prosthesis in patient with prior ball-cage mechanical mitral valve prosthesis.
abstract: Transcatheter aortic valve replacement remains challenge in patients with ball-cage-type mechanical valve in mitral position. Potential under-expansion of the percutaneous valve and interaction between the mitral ball-cage mechanical valve tilted towards the left ventricular outflow tract and the percutaneous valve adds risk during and after implantation. We report a successful implantation of the novel CoreValve Evolut-R self-expanding in a patient with severe aortic stenosis and a mitral Starr-Edwards mechanical valve implanted 28years ago.
authors.affiliation: Cardiovascular Center, San Borja Arriaran Hospital, School of Medicine, University of Chile, Santiago, Chile. Electronic address: gabrielmaluenda@gmail.com.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Maluenda
authors.affiliation: Cardiovascular Center, San Borja Arriaran Hospital, School of Medicine, University of Chile, Santiago, Chile.
authors.forename: Carlos
authors.initials: C
authors.lastname: Caorsi
authors.affiliation: Cardiovascular Center, San Borja Arriaran Hospital, School of Medicine, University of Chile, Santiago, Chile.
authors.forename: Cristian
authors.initials: C
authors.lastname: Baeza
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D063126:Balloon Valvuloplasty; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D002406:Catheterization, Peripheral / Q000379:methods; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aortic stenosis;; Ball-Caged Mechanical Mitral Valve Prosthesis;; Transcatheter valve replacement