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

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

Research output: Contribution to journalArticle

2 Citations (Scopus)

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
Externally publishedYes

Fingerprint

Bioprosthesis
Mitral Valve
Sternotomy
Surgical Instruments
Lung
Mortality
Transcatheter Aortic Valve Replacement
Conservative Treatment

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

Cite this

First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis : How To Do It. / Poon, Karl K C; Clarke, Andrew; Luis, S. Allen; Wiemers, Paul; Incani, Alexander; Scalia, Gregory; Tesar, Peter; Raffel, Owen Christopher; Aroney, Constantine N.; Walters, Darren L.

In: Heart Lung and Circulation, Vol. 21, No. 11, 01.11.2012, p. 737-739.

Research output: Contribution to journalArticle

Poon, KKC, Clarke, A, Luis, SA, Wiemers, P, Incani, A, Scalia, G, Tesar, P, Raffel, OC, Aroney, CN & Walters, DL 2012, 'First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis: How To Do It', Heart Lung and Circulation, vol. 21, no. 11, pp. 737-739. https://doi.org/10.1016/j.hlc.2012.04.006
Poon, Karl K C ; Clarke, Andrew ; Luis, S. Allen ; Wiemers, Paul ; Incani, Alexander ; Scalia, Gregory ; Tesar, Peter ; Raffel, Owen Christopher ; Aroney, Constantine N. ; Walters, Darren L. / First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis : How To Do It. In: Heart Lung and Circulation. 2012 ; Vol. 21, No. 11. pp. 737-739.
@article{e872803c79054a84863742647c6ea8b0,
title = "First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis: How To Do It",
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{\circledR} 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.",
keywords = "Heart catheterization, Heart valve prosthesis, Heart valve prosthesis implantation, Mitral valve, Mitral valve insufficiency, Prosthesis failure, Transcatheter aortic valve replacements",
author = "Poon, {Karl K C} and Andrew Clarke and Luis, {S. Allen} and Paul Wiemers and Alexander Incani and Gregory Scalia and Peter Tesar and Raffel, {Owen Christopher} and Aroney, {Constantine N.} and Walters, {Darren L.}",
year = "2012",
month = "11",
day = "1",
doi = "10.1016/j.hlc.2012.04.006",
language = "English (US)",
volume = "21",
pages = "737--739",
journal = "Heart Lung and Circulation",
issn = "1443-9506",
publisher = "Wiley-Blackwell",
number = "11",

}

TY - JOUR

T1 - First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis

T2 - How To Do It

AU - Poon, Karl K C

AU - Clarke, Andrew

AU - Luis, S. Allen

AU - Wiemers, Paul

AU - Incani, Alexander

AU - Scalia, Gregory

AU - Tesar, Peter

AU - Raffel, Owen Christopher

AU - Aroney, Constantine N.

AU - Walters, Darren L.

PY - 2012/11/1

Y1 - 2012/11/1

N2 - 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.

AB - 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.

KW - Heart catheterization

KW - Heart valve prosthesis

KW - Heart valve prosthesis implantation

KW - Mitral valve

KW - Mitral valve insufficiency

KW - Prosthesis failure

KW - Transcatheter aortic valve replacements

UR - http://www.scopus.com/inward/record.url?scp=84868704289&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84868704289&partnerID=8YFLogxK

U2 - 10.1016/j.hlc.2012.04.006

DO - 10.1016/j.hlc.2012.04.006

M3 - Article

C2 - 22595453

AN - SCOPUS:84868704289

VL - 21

SP - 737

EP - 739

JO - Heart Lung and Circulation

JF - Heart Lung and Circulation

SN - 1443-9506

IS - 11

ER -