Single Trans apical access for double aortic and mitral valves-in-valves procedures with high risk of thrombus embolism

Main Article Content

Julien Adjedj*
Mathias Kirsch
Anna Nowacka
Olivier Muller

Abstract

Persistent left atrial thrombus remains a contra indication to transeptal valves in valves procedure. We aimed to perform a double valves in valves replacement through transapical access with cerebral angiography control during the procedure just after implantation. Our case shows the feasibility of this strategy and the management of right ventricle laceration successfully treated after extra corporeal membrane oxygenation implantation and local hemostasis. We reported a feasibility case report of successful double valves in valves implantation through transapical access with 6 months of clinical and computed tomography follow up.

Article Details

How to Cite
Adjedj, J., Kirsch, M., Nowacka, A., & Muller, O. (2019). Single Trans apical access for double aortic and mitral valves-in-valves procedures with high risk of thrombus embolism. Journal of Cardiology and Cardiovascular Medicine, 4(2), 071–072. https://doi.org/10.29328/journal.jccm.1001042
Section
Case Reports

References

Ando T, Takagi H, Briasoulis A, Telila T, Slovut DP, et al. A systematic review of reported cases of combined transcatheter aortic and mitral valve interventions. Catheter Cardiovasc Interv. 2018; 91: 124-34. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28862381

Eggebrecht H, Schmermund A, Voigtländer T, Kahlert P, Erbel R, et al. Risk of stroke after transcatheter aortic valve implantation (tavi): A meta-analysis of 10,037 published patients. EuroIntervention. 2012; 8: 129-38. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22391581

Gülker JE, Schott P, Katoh M, Bufe A. Case report: Cerebral stentretreiver thrombectomy of an embolized valve fragment after valve in valve tavi. Clin Res Cardiol 2016; 105: 372-5. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26514354