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Transapical transcatheter valve-in-ring implantation for failed mitral valve repair in the absence of radiopaque markers  Manuel Wilbring, MD, Utz Kappert,

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Presentation on theme: "Transapical transcatheter valve-in-ring implantation for failed mitral valve repair in the absence of radiopaque markers  Manuel Wilbring, MD, Utz Kappert,"— Presentation transcript:

1 Transapical transcatheter valve-in-ring implantation for failed mitral valve repair in the absence of radiopaque markers  Manuel Wilbring, MD, Utz Kappert, MD, PhD, Klaus Matschke, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 149, Issue 6, Pages e92-e94 (June 2015) DOI: /j.jtcvs Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 A, Failed mitral repair with severe mitral regurgitation as a consequence of chordal rupture. B, Fluoroscopy was unhelpful, because the previous mitral repair had been performed with a radiolucent 28-mm St Jude Medical Seguin annuloplasty-ring (double arrows). Fluoroscopy revealed only the tricuspid annuloplasty ring (single arrow). C, The mitral ring was identified as a landing zone with 3-dimensional echocardiography. D, Successful transapical valve-in-ring transcatheter aortic valve implantation was performed. E, Final postoperative echocardiography revealed a satisfactory result, with excellent prosthesis function and only trace paravalvular regurgitation. The Journal of Thoracic and Cardiovascular Surgery  , e92-e94DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

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