Anson Cheung, MD, John G. Webb, MD, Daniel R

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Presentation transcript:

Transapical Transcatheter Mitral Valve-in-Valve Implantation in a Human Anson Cheung, MD, John G. Webb, MD, Daniel R. Wong, MD, MPH, Jian Ye, MD, Jean-Bernard Masson, MD, Ronald G. Carere, MD, Samuel V. Lichtenstein, MD, PhD The Annals of Thoracic Surgery Volume 87, Issue 3, Pages e18-e20 (March 2009) DOI: 10.1016/j.athoracsur.2008.10.016 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (Left) Technique for transapical mitral valve-in-valve implantation shows the cuffed valve being deployed within the bioprosthesis (cut away). (Panel a) Pigtail catheter in the apex during preoperative angiography. The xenograft commissural posts are marked by the radiopaque nickel-cobalt alloy wire form, with the support ring also visible. Intraoperative fluoroscopy demonstrates (b) balloon valvuloplasty, (c) positioning the transcatheter valve (a few millimeters atrially beyond the support ring), and (d) deployment. The Annals of Thoracic Surgery 2009 87, e18-e20DOI: (10.1016/j.athoracsur.2008.10.016) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The fabric cuff surrounding the Cribier-Edwards transcatheter valve may provide a better seal for valve-in-valve applications (photograph courtesy of Edwards Lifesciences LLC, Irvine, CA). The Annals of Thoracic Surgery 2009 87, e18-e20DOI: (10.1016/j.athoracsur.2008.10.016) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The transcatheter mitral valve-in-valve viewed by cineangiography 5 weeks postoperatively shows (a) lateral view and (b) coaxial view. The Annals of Thoracic Surgery 2009 87, e18-e20DOI: (10.1016/j.athoracsur.2008.10.016) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions