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 journalArticlepeer-review

16 Scopus citations

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

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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