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Ann Thorac Surg. 2015 Jun;99(6):e149-50. doi: 10.1016/j.athoracsur.2015.02.101.

A Hybrid Double Access for Transcatheter Mitral Valve-In-Valve Implantation.

Author information

1
Department of Interventional Cardiology, Humanitas Research Hospital, Rozzano, Milan, Italy.
2
Department of Interventional Cardiology, Humanitas Research Hospital, Rozzano, Milan, Italy. Electronic address: marco.mennuni@gmail.com.
3
Department of Cardiothoracic Surgery, Humanitas Research Hospital, Rozzano, Milan, Italy.
4
Echocardiography Laboratory, Humanitas Research Hospital, Rozzano, Milan, Italy.

Abstract

We present a case of hybrid mitral valve-in valve implantation. The planned transapical approach failed due to the inability to cross the degenerated stenotic mitral bioprosthesis. An alternative strategy was performed: first, an anterograde crossing of mitral stenosis, and then, a guidewire externalization through the apex by using a snare. To our knowledge, this is the first described case of double approach mitral valve-in valve implantation.

[Indexed for MEDLINE]

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