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Three‐Dimensional Transesophageal Echocardiography Assessment of a Successful Transcatheter Mitral Valve in Valve Implantation for Degenerated Bioprosthesis
Authors:Alexis Théron M.D.  Vlad Gariboldi M.D.  Dominique Grisoli M.D.  Laurie‐anne Maysou M.D.  Nicolas Jaussaud M.D.  Pierre Morera M.D.  Thomas Cuisset M.D.  Jacques Quilici M.D.  Franck Thuny M.D.   Ph.D.  Alberto Riberi M.D.  Jean‐François Avierinos M.D.    Frederic Collart M.D.
Affiliation:1. Department of Cardiac Surgery, La Timone Hospital, , Marseille, France;2. Department of Cardiology, La Timone Hospital, , Marseille, France
Abstract:Reoperation for degenerated mitral bioprosthesis is considered a high risk procedure. Transcatheter mitral valve in valve implantation has emerged as an off‐label alternative for patients contra‐indicated to surgery. We report a 46‐year‐old man, with a 29 mm mitral bioprosthesis since 2002, who was admitted for acute heart failure because of a severe intra‐prosthetic regurgitation. His recent medical history revealed a fast growing cavum carcinoma. In view of generally poor prognosis, the heart team decided to perform a transcatheter mitral valve in valve implantation by transapical approach. Live three‐dimensional TEE was used during the implantation for sizing, device positioning, and hemodynamic assessment.
Keywords:valve in valve  degenerated bioprosthesis  3DTEE     TAVI   
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