Transcatheter mitral valve-in-valve for bioprosthetic valve degeneration: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

FENG Yi , ZHU Zhangqiang , MA Xiantao , LI Shiliang , Akilu Wajeehullahi ,  CHENG Cai

Department of Cardiovascular Surgery, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P. R. China;

Corresponding author：

CHENG Cai, Email: cai.cheng@hotmail.com

Keywords：

Mitral bioprosthetic valve deterioration; transcatheter mitral valve replacement; valve-in-valve; case report

DOI：

10.7507/1007-4848.202307066

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This article reports a case of a 70-year-old female patient who developed bioprosthetic mitral valve deterioration 4 months after her initial valve replacement surgery, manifesting as severe regurgitation and New York Heart Association Class Ⅲ. Due to the high risk of a redo open-heart surgery, she underwent a transapical transcatheter mitral valve-in-valve procedure. Intraoperatively, a J-Valve prosthesis was successfully implanted under echocardiographic and fluoroscopic guidance. Immediate transesophageal echocardiography confirmed an optimal valve position, complete resolution of regurgitation, and no significant paravalvular leak or left ventricular outflow tract obstruction. The patient's postoperative course was uneventful. She was extubated 16 hours post-procedure with significant improvement in cardiac function. Follow-up echocardiography showed normal prosthetic valve function.

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5.	Kamioka N, Babaliaros V, Morse MA, et al. Comparison of clinical and echocardiographic outcomes after surgical redo mitral valve replacement and transcatheter mitral valve-in-valve therapy. JACC Cardiovasc Interv, 2018, 11(12): 1131-1138.
6.	Whisenant B, Kapadia SR, Eleid MF, et al. One-year outcomes of mitral valve-in-valve using the SAPIEN 3 transcatheter heart valve. JAMA Cardiol, 2020, 5(11): 1245-1252.
7.	Demir OM, Bolland M, Curio J, et al. Transcatheter mitral valve replacement: current evidence and concepts. Interv Cardiol, 2021, 16: e07.
8.	Bapat V, Rajagopal V, Meduri C, et al. Early experience with new transcatheter mitral valve replacement. J Am Coll Cardiol, 2018, 71(1): 12-21.
9.	Hensey M, Brown RA, Lal S, et al. Transcatheter mitral valve replacement: an update on current techniques, technologies, and future directions. JACC Cardiovasc Interv, 2021, 14(5): 489-500.
10.	Hu J, Chen Y, Cheng S, et al. Transcatheter mitral valve implantation for degenerated mitral bioprostheses or failed surgical annuloplasty rings: a systematic review and meta-analysis. J Card Surg, 2018, 33(9): 508-519.
11.	Asgar AW. Transcatheter mitral valve-in-valve: a plausible option but questions remain. JAMA Cardiol, 2020, 5(11): 1253-1254.

1. Thourani VH, Weintraub WS, Guyton RA, et al. Outcomes and long-term survival for patients undergoing mitral valve repair versus replacement: effect of age and concomitant coronary artery bypass grafting. Circulation, 2003, 108(3): 298-304.
2. Zia Khan M, Zahid S, Khan MU, et al. Redo surgical mitral valve replacement versus transcatheter mitral valve in valve from the national inpatient sample. J Am Heart Assoc, 2021, 10(17): e020948.
3. Cheung A, Webb JG, Wong DR, et al. Transapical transcatheter mitral valve-in-valve implantation in a human. Ann Thorac Surg, 2009, 87(3): e18-e20.
4. El Hajj SC, Eleid MF. Transcatheter mitral valve replacement: an update on the current literature. Curr Treat Options Cardiovasc Med, 2019, 21(7): 35.
5. Kamioka N, Babaliaros V, Morse MA, et al. Comparison of clinical and echocardiographic outcomes after surgical redo mitral valve replacement and transcatheter mitral valve-in-valve therapy. JACC Cardiovasc Interv, 2018, 11(12): 1131-1138.
6. Whisenant B, Kapadia SR, Eleid MF, et al. One-year outcomes of mitral valve-in-valve using the SAPIEN 3 transcatheter heart valve. JAMA Cardiol, 2020, 5(11): 1245-1252.
7. Demir OM, Bolland M, Curio J, et al. Transcatheter mitral valve replacement: current evidence and concepts. Interv Cardiol, 2021, 16: e07.
8. Bapat V, Rajagopal V, Meduri C, et al. Early experience with new transcatheter mitral valve replacement. J Am Coll Cardiol, 2018, 71(1): 12-21.
9. Hensey M, Brown RA, Lal S, et al. Transcatheter mitral valve replacement: an update on current techniques, technologies, and future directions. JACC Cardiovasc Interv, 2021, 14(5): 489-500.
10. Hu J, Chen Y, Cheng S, et al. Transcatheter mitral valve implantation for degenerated mitral bioprostheses or failed surgical annuloplasty rings: a systematic review and meta-analysis. J Card Surg, 2018, 33(9): 508-519.
11. Asgar AW. Transcatheter mitral valve-in-valve: a plausible option but questions remain. JAMA Cardiol, 2020, 5(11): 1253-1254.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

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