Transapical Mitral Valve-in-Ring Replacement Using the Innovative System under 3-Dimensional Printing Guidance
Background: Transcatheter mitral valve-in-ring replacement (TMViR) is an emerging alternative for patients with recurrent mitral regurgitation (MR) after a prior failed annuloplasty ring. However, intraoperative common issues and complications remain to be addressed. Case summary: We describe the ca...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Journal of Cardiovascular Development and Disease |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2308-3425/10/8/339 |
| _version_ | 1797584363760648192 |
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| author | Yiwei Wang Yu Mao Mengen Zhai Yanyan Ma Lanlan Li Yang Liu Jian Yang |
| author_facet | Yiwei Wang Yu Mao Mengen Zhai Yanyan Ma Lanlan Li Yang Liu Jian Yang |
| author_sort | Yiwei Wang |
| collection | DOAJ |
| description | Background: Transcatheter mitral valve-in-ring replacement (TMViR) is an emerging alternative for patients with recurrent mitral regurgitation (MR) after a prior failed annuloplasty ring. However, intraoperative common issues and complications remain to be addressed. Case summary: We describe the case of a 67-year-old male patient who underwent surgical mitral concomitant tricuspid annuloplasty repair 7 years ago who developed recurrent severe MR (New York Heart Association functional class IV). To avoid a high-risk surgical reoperation, we chose to perform a TMViR using an innovative dedicated device—the Mi-thos system—via a transapical approach. A patient-specific, 3-dimensional printed model was used to guide the procedure to avoid potential challenges. The procedure was performed successfully, and the patient exhibited symptomatic improvement. Conclusions: This case report highlights the first use of the innovative Mi-thos system in a TMViR procedure. The findings demonstrate the feasibility and safety of utilizing the Mi-thos system, guided by 3-dimensional printing technology, for patients who have experienced recurrent mitral regurgitation MR following a failed annuloplasty ring. |
| first_indexed | 2024-03-10T23:51:49Z |
| format | Article |
| id | doaj.art-cab4503229a549be81272567bd0208c5 |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-10T23:51:49Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-cab4503229a549be81272567bd0208c52023-11-19T01:38:18ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-08-0110833910.3390/jcdd10080339Transapical Mitral Valve-in-Ring Replacement Using the Innovative System under 3-Dimensional Printing GuidanceYiwei Wang0Yu Mao1Mengen Zhai2Yanyan Ma3Lanlan Li4Yang Liu5Jian Yang6Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710032, ChinaDepartment of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710032, ChinaDepartment of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710032, ChinaDepartment of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710032, ChinaDepartment of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710032, ChinaDepartment of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710032, ChinaDepartment of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710032, ChinaBackground: Transcatheter mitral valve-in-ring replacement (TMViR) is an emerging alternative for patients with recurrent mitral regurgitation (MR) after a prior failed annuloplasty ring. However, intraoperative common issues and complications remain to be addressed. Case summary: We describe the case of a 67-year-old male patient who underwent surgical mitral concomitant tricuspid annuloplasty repair 7 years ago who developed recurrent severe MR (New York Heart Association functional class IV). To avoid a high-risk surgical reoperation, we chose to perform a TMViR using an innovative dedicated device—the Mi-thos system—via a transapical approach. A patient-specific, 3-dimensional printed model was used to guide the procedure to avoid potential challenges. The procedure was performed successfully, and the patient exhibited symptomatic improvement. Conclusions: This case report highlights the first use of the innovative Mi-thos system in a TMViR procedure. The findings demonstrate the feasibility and safety of utilizing the Mi-thos system, guided by 3-dimensional printing technology, for patients who have experienced recurrent mitral regurgitation MR following a failed annuloplasty ring.https://www.mdpi.com/2308-3425/10/8/339valve-in-ringMi-thos systemtranscatheter mitral valve replacementfailed annuloplasty ring3-dimensional printing |
| spellingShingle | Yiwei Wang Yu Mao Mengen Zhai Yanyan Ma Lanlan Li Yang Liu Jian Yang Transapical Mitral Valve-in-Ring Replacement Using the Innovative System under 3-Dimensional Printing Guidance Journal of Cardiovascular Development and Disease valve-in-ring Mi-thos system transcatheter mitral valve replacement failed annuloplasty ring 3-dimensional printing |
| title | Transapical Mitral Valve-in-Ring Replacement Using the Innovative System under 3-Dimensional Printing Guidance |
| title_full | Transapical Mitral Valve-in-Ring Replacement Using the Innovative System under 3-Dimensional Printing Guidance |
| title_fullStr | Transapical Mitral Valve-in-Ring Replacement Using the Innovative System under 3-Dimensional Printing Guidance |
| title_full_unstemmed | Transapical Mitral Valve-in-Ring Replacement Using the Innovative System under 3-Dimensional Printing Guidance |
| title_short | Transapical Mitral Valve-in-Ring Replacement Using the Innovative System under 3-Dimensional Printing Guidance |
| title_sort | transapical mitral valve in ring replacement using the innovative system under 3 dimensional printing guidance |
| topic | valve-in-ring Mi-thos system transcatheter mitral valve replacement failed annuloplasty ring 3-dimensional printing |
| url | https://www.mdpi.com/2308-3425/10/8/339 |
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