Concomitant use of Sapien 3 transcatheter valve for severe MAC with Intuity Elite rapid deployment valve for aortic stenosis
Abstract Background Concomitant double valve pathology in the presence of severe MAC poses significant technical challenges when planning surgical intervention. With continued evolution of valve prosthesis, innovative techniques can be considered with the potential for additional therapeutic benefit...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-01879-7 |
| _version_ | 1829105696000442368 |
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| author | Gareth J. Hooks Peter Ball Mark S. Spence Reuben Jeganathan |
| author_facet | Gareth J. Hooks Peter Ball Mark S. Spence Reuben Jeganathan |
| author_sort | Gareth J. Hooks |
| collection | DOAJ |
| description | Abstract Background Concomitant double valve pathology in the presence of severe MAC poses significant technical challenges when planning surgical intervention. With continued evolution of valve prosthesis, innovative techniques can be considered with the potential for additional therapeutic benefit. Case presentation We present a novel technique of using a rapid deployment surgical aortic valve in combination with open surgical transcatheter mitral valve implantation (TMVI) for severe Mitral Annular Calcification (MAC). The Intuity Elite rapid deployment prosthesis (Edwards Lifesciences, Irvine, CA) was used concomitantly with the Sapien 3 (Edwards Lifesciences, Irvine, CA) transcatheter prosthesis trans-atrially on cardiopulmonary bypass in a patient with critical aortic stenosis and moderate-severe mixed mitral valve disease in the setting of severe MAC (off-label use). Conclusions We demonstrate how both technologies can, not only be accommodated, but indeed complement each other achieving an excellent outcome in a high-risk patient. |
| first_indexed | 2024-12-12T06:11:00Z |
| format | Article |
| id | doaj.art-d51b0d45cea84bc69c9aed2fea5555df |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-12T06:11:00Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-d51b0d45cea84bc69c9aed2fea5555df2022-12-22T00:35:10ZengBMCJournal of Cardiothoracic Surgery1749-80902022-05-011711410.1186/s13019-022-01879-7Concomitant use of Sapien 3 transcatheter valve for severe MAC with Intuity Elite rapid deployment valve for aortic stenosisGareth J. Hooks0Peter Ball1Mark S. Spence2Reuben Jeganathan3Department of Cardiothoracic Surgery, Royal Victoria HospitalDepartment of Radiology, Royal Victoria HospitalDepartment of Cardiology, Royal Victoria HospitalDepartment of Cardiothoracic Surgery, Royal Victoria HospitalAbstract Background Concomitant double valve pathology in the presence of severe MAC poses significant technical challenges when planning surgical intervention. With continued evolution of valve prosthesis, innovative techniques can be considered with the potential for additional therapeutic benefit. Case presentation We present a novel technique of using a rapid deployment surgical aortic valve in combination with open surgical transcatheter mitral valve implantation (TMVI) for severe Mitral Annular Calcification (MAC). The Intuity Elite rapid deployment prosthesis (Edwards Lifesciences, Irvine, CA) was used concomitantly with the Sapien 3 (Edwards Lifesciences, Irvine, CA) transcatheter prosthesis trans-atrially on cardiopulmonary bypass in a patient with critical aortic stenosis and moderate-severe mixed mitral valve disease in the setting of severe MAC (off-label use). Conclusions We demonstrate how both technologies can, not only be accommodated, but indeed complement each other achieving an excellent outcome in a high-risk patient.https://doi.org/10.1186/s13019-022-01879-7TMVIConcomitant rapid deployment aortic valve |
| spellingShingle | Gareth J. Hooks Peter Ball Mark S. Spence Reuben Jeganathan Concomitant use of Sapien 3 transcatheter valve for severe MAC with Intuity Elite rapid deployment valve for aortic stenosis Journal of Cardiothoracic Surgery TMVI Concomitant rapid deployment aortic valve |
| title | Concomitant use of Sapien 3 transcatheter valve for severe MAC with Intuity Elite rapid deployment valve for aortic stenosis |
| title_full | Concomitant use of Sapien 3 transcatheter valve for severe MAC with Intuity Elite rapid deployment valve for aortic stenosis |
| title_fullStr | Concomitant use of Sapien 3 transcatheter valve for severe MAC with Intuity Elite rapid deployment valve for aortic stenosis |
| title_full_unstemmed | Concomitant use of Sapien 3 transcatheter valve for severe MAC with Intuity Elite rapid deployment valve for aortic stenosis |
| title_short | Concomitant use of Sapien 3 transcatheter valve for severe MAC with Intuity Elite rapid deployment valve for aortic stenosis |
| title_sort | concomitant use of sapien 3 transcatheter valve for severe mac with intuity elite rapid deployment valve for aortic stenosis |
| topic | TMVI Concomitant rapid deployment aortic valve |
| url | https://doi.org/10.1186/s13019-022-01879-7 |
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