Sapien XT transcatheter mitral valve replacement under direct vision in the setting of significant mitral annular calcification

Takashi Murashita, Rakesh M. Suri, Richard C. Daly

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Mitral valve replacement carries a high risk in patients with extensive mitral annular calcification. We report the case of a 71-year-old woman with severely calcified mitral valve stenosis and extensive annular calcification. We approached the mitral valve through a left atriotomy using cardiopulmonary bypass and cardiac arrest. We successfully deployed a 29-mm Sapien XT valve under direct visualization with satisfactory positioning. We further balloon-expanded the device to diminish the likelihood of periprosthetic regurgitation. Open mitral valve replacement with a transcatheter valve can be performed without the need for decalcification of the mitral annulus and is a good alternative to conventional mitral valve replacement.

Original languageEnglish (US)
Pages (from-to)1171-1174
Number of pages4
JournalAnnals of Thoracic Surgery
Volume101
Issue number3
DOIs
StatePublished - Mar 1 2016

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Mitral Valve
Heart Arrest
Mitral Valve Stenosis
Cardiopulmonary Bypass
Equipment and Supplies

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine
  • Medicine(all)

Cite this

Sapien XT transcatheter mitral valve replacement under direct vision in the setting of significant mitral annular calcification. / Murashita, Takashi; Suri, Rakesh M.; Daly, Richard C.

In: Annals of Thoracic Surgery, Vol. 101, No. 3, 01.03.2016, p. 1171-1174.

Research output: Contribution to journalArticle

Murashita, Takashi ; Suri, Rakesh M. ; Daly, Richard C. / Sapien XT transcatheter mitral valve replacement under direct vision in the setting of significant mitral annular calcification. In: Annals of Thoracic Surgery. 2016 ; Vol. 101, No. 3. pp. 1171-1174.
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