Valve-in-Valve Implantation of a Sapien 3 Transcatheter Heart Valve for Reduction of Paravalvular Regurgitation Despite Optimal Placement of the First Transcatheter Heart Valve.
Valve-in-valve implantation is generally successful in reducing paravalvular regurgitation (PVR) in cases in which the first transcatheter heart valve is deployed in a suboptimal location. We describe a case of severe PVR 2 months after implantation of a 26-mm Sapien XT valve (Edwards Lifesciences Inc, Irvine, CA) in the optimal location. Valve-in-valve implantation of a Sapien 3 valve (Edwards Lifesciences Inc), and enough left ventricular outflow tract tissue at the inflow edge the Sapien XT to appose the sealing cuff of the Sapien 3 combined for successful PVR treatment. To our knowledge, this is the first case of PVR reduction with valve-in-valve despite the original valve being appropriately sized and placed.
Division of Cardiology, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Ayoub
A
El Hammiri
Division of Cardiology, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada; Centre de Recherche du CHUM, Montréal, Québec, Canada.
Jeannot
J
Potvin
Division of Cardiology, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Jean-François
JF
Gobeil
Centre de Recherche du CHUM, Montréal, Québec, Canada; Division of Cardiac Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Nicolas
N
Noiseux
Centre de Recherche du CHUM, Montréal, Québec, Canada; Division of Cardiac Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Louis-Mathieu
LM
Stevens
Division of Cardiology, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada; Centre de Recherche du CHUM, Montréal, Québec, Canada. Electronic address: jean-bernard.masson@umontreal.ca.
Jean-Bernard
JB
Masson
D000368:Aged; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012086:Reoperation; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*