Surgical double valve replacement after transcatheter aortic valve implantation and interventional mitral valve repair

Interact Cardiovasc Thorac Surg. 2013 Nov;17(5):909-11. doi: 10.1093/icvts/ivt313. Epub 2013 Jul 17.

Abstract

Transcatheter aortic valve implantation, as well as interventional mitral valve repair, offer reasonable therapeutic options for high-risk surgical patients. We report a rare case of early post-interventional aortic valve prosthesis migration to the left ventricular outflow tract, with paravalvular leakage and causing severe mitral valve regurgitation. Initial successful interventional mitral valve repair using a clipped edge-to-edge technique revealed, in a subsequent procedure, the recurrence of mitral valve regurgitation leading to progressive heart failure and necessitating subsequent surgical aortic and mitral valve replacement.

Keywords: Aortic valve replacement; MitraClip; Mitral valve replacement; Surgery; TAVI; Valve migration.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery*
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / therapy*
  • Cardiac Catheterization* / adverse effects
  • Cardiac Catheterization* / instrumentation
  • Device Removal*
  • Echocardiography, Transesophageal
  • Foreign-Body Migration / diagnosis
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / surgery*
  • Heart Failure / etiology
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation* / adverse effects
  • Heart Valve Prosthesis Implantation* / instrumentation
  • Heart Valve Prosthesis Implantation* / methods
  • Humans
  • Male
  • Mitral Valve Insufficiency / diagnosis
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / therapy*
  • Prosthesis Design
  • Recurrence
  • Treatment Outcome