First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis: How To Do It

Karl K.C. Poon, Andrew Clarke, Sushil A. Luis, Paul Wiemers, Alexander Incani, Gregory Scalia, Peter Tesar, Owen Christopher Raffel, Constantine N. Aroney, Darren L. Walters

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Transcatheter aortic valve replacements lower mortality in patients not suitable for surgical valve replacement compared to conservative treatment. Transcatheter valve-in-valve implants have been shown to be feasible in failed bioprostheses in aortic, mitral, pulmonary and tricuspid positions. We report the first Australasian experience of a transapical mitral valve-in-valve placement with an Edwards Sapien® transcatheter valve for a failed mitral bioprosthesis, focussing on the technical aspects of this novel procedure. Whilst the evidence for this niche indication is limited currently to case reports and case series, further evaluation of its long term outcomes may justify its use in this particularly high risk group of re-do sternotomy patients.

Original languageEnglish (US)
Pages (from-to)737-739
Number of pages3
JournalHeart Lung and Circulation
Volume21
Issue number11
DOIs
StatePublished - Nov 1 2012

Keywords

  • Heart catheterization
  • Heart valve prosthesis
  • Heart valve prosthesis implantation
  • Mitral valve
  • Mitral valve insufficiency
  • Prosthesis failure
  • Transcatheter aortic valve replacements

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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    Poon, K. K. C., Clarke, A., Luis, S. A., Wiemers, P., Incani, A., Scalia, G., Tesar, P., Raffel, O. C., Aroney, C. N., & Walters, D. L. (2012). First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis: How To Do It. Heart Lung and Circulation, 21(11), 737-739. https://doi.org/10.1016/j.hlc.2012.04.006