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...
Main Authors: | , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1797644351802703872 |
---|---|
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. |
first_indexed | 2024-03-11T14:30:21Z |
format | Article |
id | doaj.art-8e54d740e87740b89b2d3365eed13beb |
institution | Directory Open Access Journal |
issn | 2297-055X |
language | English |
last_indexed | 2024-03-11T14:30:21Z |
publishDate | 2023-10-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Cardiovascular Medicine |
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 |
work_keys_str_mv | AT davidmeier casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT davidmeier casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT davidmeier casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT davidmeier casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT georgiostzimas casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT mariamaakodad casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT alihusain casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT alihusain casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT alihusain casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT jamesdundas casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT jamesdundas casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT jamesdundas casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT juliusjelisejevas casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT juliusjelisejevas casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT juliusjelisejevas casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT ansoncheung casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT ansoncheung casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT ansoncheung casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT stephanielsellers casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT stephanielsellers casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT stephanielsellers casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT jonathonaleipsic casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT jonathonaleipsic casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT jonathonaleipsic casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT philippblanke casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT philippblanke casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT philippblanke casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT davidawood casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT davidawood casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT davidawood casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT janarthanansathananthan casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT janarthanansathananthan casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT janarthanansathananthan casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT johngwebb casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT johngwebb casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation AT johngwebb casereportstretchingthelimitslatevalvuloplastyforthvdysfunctionfollowingredomitralvalveinvalveimplantation |