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

Article Sidebar

PDF HTML
Submitted: June 27, 2019
Published: Jul 16, 2019
DOI: 10.29328/journal.jccm.1001042
Keywords:
Valves in valves, Apical access, Right ventricle laceration
Crossref
Scopus
Google Scholar
Europe PMC

Main Article Content

Julien Adjedj*
Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Mathias Kirsch
Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Anna Nowacka
Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Olivier Muller
Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

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

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
Case Reports

Copyright (c) 2019 Adjedj J, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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