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

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...

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Main Authors: David Meier, Georgios Tzimas, Mariama Akodad, Ali Husain, James Dundas, Julius Jelisejevas, Anson Cheung, Stephanie L. Sellers, Jonathon A. Leipsic, Philipp Blanke, David A. Wood, Janarthanan Sathananthan, John G. Webb
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1288278/full
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author 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
author_facet 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
author_sort David Meier
collection DOAJ
description 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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spelling doaj.art-8e54d740e87740b89b2d3365eed13beb2023-10-31T10:13:42ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-10-011010.3389/fcvm.2023.12882781288278Case Report: Stretching the limits—late valvuloplasty for THV dysfunction following redo mitral valve-in-valve implantationDavid Meier0David Meier1David Meier2David Meier3Georgios Tzimas4Mariama Akodad5Ali Husain6Ali Husain7Ali Husain8James Dundas9James Dundas10James Dundas11Julius Jelisejevas12Julius Jelisejevas13Julius Jelisejevas14Anson Cheung15Anson Cheung16Anson Cheung17Stephanie L. Sellers18Stephanie L. Sellers19Stephanie L. Sellers20Jonathon A. Leipsic21Jonathon A. Leipsic22Jonathon A. Leipsic23Philipp Blanke24Philipp Blanke25Philipp Blanke26David A. Wood27David A. Wood28David A. Wood29Janarthanan Sathananthan30Janarthanan Sathananthan31Janarthanan Sathananthan32John G. Webb33John G. Webb34John G. Webb35Department of Cardiology, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaDepartment of Cardiology, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandInstitut Cardiovasculaire Paris Sud, Hôpital Privé Jacques-Cartier, Ramsay Santé, Massy, FranceCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaCardiovascular Translational Laboratory, Providence Research and Centre for Heart Lung Innovation, Vancouver, BC, CanadaCentre for Heart Valve Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, CanadaCentre for Cardiovascular Innovation, St Paul’s and Vancouver General Hospital, Vancouver, BC, CanadaLate 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.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1288278/fullmitral valve in valveredo mitral valve in valvelate valvuloplastyover-expansionballoon dilatation
spellingShingle 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
Case Report: Stretching the limits—late valvuloplasty for THV dysfunction following redo mitral valve-in-valve implantation
Frontiers in Cardiovascular Medicine
mitral valve in valve
redo mitral valve in valve
late valvuloplasty
over-expansion
balloon dilatation
title Case Report: Stretching the limits—late valvuloplasty for THV dysfunction following redo mitral valve-in-valve implantation
title_full Case Report: Stretching the limits—late valvuloplasty for THV dysfunction following redo mitral valve-in-valve implantation
title_fullStr Case Report: Stretching the limits—late valvuloplasty for THV dysfunction following redo mitral valve-in-valve implantation
title_full_unstemmed Case Report: Stretching the limits—late valvuloplasty for THV dysfunction following redo mitral valve-in-valve implantation
title_short Case Report: Stretching the limits—late valvuloplasty for THV dysfunction following redo mitral valve-in-valve implantation
title_sort case report stretching the limits late valvuloplasty for thv dysfunction following redo mitral valve in valve implantation
topic mitral valve in valve
redo mitral valve in valve
late valvuloplasty
over-expansion
balloon dilatation
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1288278/full
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