Frontiers in Cardiovascular Medicine (Dec 2019)

Percutaneous Trans-septal Mitral Valve-in-Ring Implantation Using a Transcatheter Balloon-Expandable Transcatheter Heart Valve With Elective Intra-Procedural Artero-Venous ECMO in a Patient With Severely Reduced Left Ventricular Ejection Fraction

  • Francesca Ristalli,
  • Silvia Maiani,
  • Brunilda Hamiti,
  • Alessio Mattesini,
  • Francesco Meucci,
  • Miroslava Stolcova,
  • Carlo Di Mario

DOI
https://doi.org/10.3389/fcvm.2019.00174
Journal volume & issue
Vol. 6

Abstract

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Percutaneous mitral valve-in-valve implantation is an emerging option in patients with surgical bioprosthesis failure or failing mitral annuloplasty and increased surgical risk. We present a case of transcatheter transvenous trans-septal mitral valve-in-ring (TMVinR) procedure, in a patient with severe left ventricular dysfunction and severe mitral regurgitation, after surgical mitral annuloplasty, managed with periprocedural mechanical circulatory support (MCS) with VA-ECMO.

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