Frontiers in Cardiovascular Medicine (Oct 2023)

Case Report: Stretching the limits—late valvuloplasty for THV dysfunction following redo mitral valve-in-valve implantation

  • David Meier,
  • David Meier,
  • David Meier,
  • David Meier,
  • Georgios Tzimas,
  • Mariama Akodad,
  • Ali Husain,
  • Ali Husain,
  • Ali Husain,
  • James Dundas,
  • James Dundas,
  • James Dundas,
  • Julius Jelisejevas,
  • Julius Jelisejevas,
  • Julius Jelisejevas,
  • Anson Cheung,
  • Anson Cheung,
  • Anson Cheung,
  • Stephanie L. Sellers,
  • Stephanie L. Sellers,
  • Stephanie L. Sellers,
  • Jonathon A. Leipsic,
  • Jonathon A. Leipsic,
  • Jonathon A. Leipsic,
  • Philipp Blanke,
  • Philipp Blanke,
  • Philipp Blanke,
  • David A. Wood,
  • David A. Wood,
  • David A. Wood,
  • Janarthanan Sathananthan,
  • Janarthanan Sathananthan,
  • Janarthanan Sathananthan,
  • John G. Webb,
  • John G. Webb,
  • John G. Webb

DOI
https://doi.org/10.3389/fcvm.2023.1288278
Journal volume & issue
Vol. 10

Abstract

Read online

Late balloon valvuloplasty can be used to treat under-expansion-related transcatheter heart valve (THV) dysfunction. Whether this can be performed following redo-THV implantation is unknown. Herein, we report a case of a 72-year-old male presenting with symptomatic gradient elevation following redo mitral valve-in-valve implantation. The patient was successfully treated with late balloon valvuloplasty with gradient improvement. In conclusion, late valvuloplasty is effective even with several layers of valves. However, larger studies are required to clarify the role of this approach further.

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