Surgical Transatrial Implantation of Transcatheter Heart Valves in Severe Mitral Annular Calcification

Interv Cardiol Clin. 2019 Jul;8(3):313-319. doi: 10.1016/j.iccl.2019.02.006. Epub 2019 Apr 8.

Abstract

Surgical mitral valve replacement in patients with severe annular calcification is a challenge for the cardiac surgeon. Surgical transatrial implantation of a transcatheter heart valve is an alternative for selected patients, in particular those at risk for obstruction of the left ventricular outflow tract or valve embolization. Herein, we review patient selection, surgical technique, and early outcomes after this novel hybrid procedure.

Keywords: Left ventricular outflow tract obstruction; Mitral annular calcification; Mitral regurgitation; Mitral stenosis; Mitral valve; Transcatheter mitral valve.

Publication types

  • Review

MeSH terms

  • Ablation Techniques / methods
  • Ablation Techniques / trends
  • Calcinosis / complications
  • Calcinosis / pathology
  • Calcinosis / surgery
  • Cardiac Catheterization / methods
  • Echocardiography
  • Female
  • Heart Atria / surgery*
  • Heart Valve Diseases / complications
  • Heart Valve Diseases / diagnostic imaging
  • Heart Valve Diseases / surgery*
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Mitral Valve / anatomy & histology
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / pathology
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / surgery*
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / etiology
  • Mitral Valve Stenosis / surgery*
  • Patient Selection
  • Risk Assessment
  • Treatment Outcome
  • Ventricular Outflow Obstruction / prevention & control
  • Ventricular Outflow Obstruction / surgery