title: Impingement of Single-Tilting Disc Mitral Prosthesis During Transcatheter Aortic Valve Replacement.
abstract: An 80-year-old woman with a medical history of mitral valve replacement with single-tilting disc prosthesis underwent transcatheter aortic valve replacement (TAVR). The tilting disc was noted to have abnormal motion after re-ballooning of the TAVR valve. Cardiopulmonary bypass was initiated, and the procedure was converted to surgical aortic valve replacement. After removal of the TAVR valve, the tilting disc moved freely. Although TAVR in patients with mitral prostheses is technically feasible, particular caution is necessary, and postdeployment dilation should be avoided.
authors.affiliation: Baylor Research Institute, Plano, Texas.
authors.forename: John J
authors.initials: JJ
authors.lastname: Squiers
authors.affiliation: Baylor Research Institute, Plano, Texas.
authors.forename: Katherine R
authors.initials: KR
authors.lastname: Hebeler
authors.affiliation: Baylor Research Institute, Plano, Texas; Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: J Michael
authors.initials: JM
authors.lastname: DiMaio
authors.affiliation: Department of Anesthesiology, The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: Patrick
authors.initials: P
authors.lastname: Ogbue
authors.affiliation: Department of Cardiology, The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: Molly
authors.initials: M
authors.lastname: Szerlip
authors.affiliation: Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas. Electronic address: william.brinkman@bswhealth.org.
authors.forename: William T
authors.initials: WT
authors.lastname: Brinkman
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D065467:Transcatheter Aortic Valve Replacement