The Thoracic and Cardiovascular Surgeon · 2011 · 11 citations · 0 references
MedicineCardiologySurgeryCardiothoracic SurgeryInterventional CardiologyProstheticsAortic SurgeryAortic Valve DiseaseCardiac Valve SurgeryMitral Valve DiseaseTranscatheter Aortic Valve ReplacementTranscatheter Valve TherapyBioprosthetic Valve DegenerationHigh-risk Surgical PatientsManagement Of High-risk PatientsRedo Valve SurgeryReoperative Valve SurgerySurgical Mitral Valve ReplacementValve-in-valve TherapyValves
Transcatheter valve-in-valve implantation is evolving as a promising alternative to reoperative valve replacement in selected high-risk patients, considering the increasing need for redo surgery due to bioprosthetic degeneration in the future. Reoperative double valve replacements are particularly associated with an elevated surgical risk. The transapical access provides the opportunity to approach the aortic and mitral valves during one intervention. We report the case of a successful transcatheter valve-in-valve implantation in the aortic and mitral position within a single procedure.