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Transcatheter ACURATE-TA Aortic Valve Implantation in a Patient With a Previous Mechanical Mitral Valve  Rodrigo Bagur, MD, PhD, Bob Kiaii, MD, Patrick.

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Presentation on theme: "Transcatheter ACURATE-TA Aortic Valve Implantation in a Patient With a Previous Mechanical Mitral Valve  Rodrigo Bagur, MD, PhD, Bob Kiaii, MD, Patrick."— Presentation transcript:

1 Transcatheter ACURATE-TA Aortic Valve Implantation in a Patient With a Previous Mechanical Mitral Valve  Rodrigo Bagur, MD, PhD, Bob Kiaii, MD, Patrick J. Teefy, MD, Pantelis Diamantouros, MD, Christopher Harle, MD, Aashish Goela, MD, Ian Chan, MD, Michael W.A. Chu, MD  The Annals of Thoracic Surgery  Volume 100, Issue 5, Pages e115-e117 (November 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Computed tomographic assessment. (A) Computed tomographic images showing aortic annulus with oval shape (29.5 × 21 mm in double oblique short axis). (B) Yellow zone depicts the apical route access site. (C) Double-headed arrow depicts relatively short (10.3 mm) distance between aortic annulus and left main coronary artery ostium. (D) Relationship of severely calcified aortic annulus and mechanical mitral valve (MMV). Black bars in A and B depict short (3.4 mm) distance between MMV ring and aortic annulus. (LC = left coronary sinus; NC = noncoronary sinus; RC = right coronary sinus.) The Annals of Thoracic Surgery  , e115-e117DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Transcatheter aortic valve implantation (TAVI) procedure and postprocedural 3-dimensional imaging. (A) Aortography during ACURATE-TA valve positioning without interference in opening of bileaflet mechanical mitral valve (MMV) by newly implanted TAVI prosthesis. Dashed arrow depicts pigtail catheter placed into noncoronary sinus. (B) Fluoroscopic aspect of newly implanted ACURATE-TA bioprosthesis and MMV opened. (C) Three-dimensional transesophageal echocardiography immediately after TAVI showing both ACURATE-TA and MMV prosthesis. (D) Three-dimensional computed tomography depicting relationship of 2 prostheses. White arrows in A–D depict opened bileaflet MMV. The Annals of Thoracic Surgery  , e115-e117DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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