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Case Reports
. 2022 May 4;4(9):512-515.
doi: 10.1016/j.jaccas.2021.12.008.

Concomitant Redo Transcatheter Aortic Valve Replacement and Valve-in-Mitral Annular Calcification

Vinayak Nagaraja  1 , Nyal Borges  1 , Amar Krishnaswamy  1 , James Yun  2 , Samir R Kapadia  1
Affiliations
Case Reports

Concomitant Redo Transcatheter Aortic Valve Replacement and Valve-in-Mitral Annular Calcification

Vinayak Nagaraja et al. JACC Case Rep. .

Abstract

Contemporary challenges in structural heart intervention include redo transcatheter aortic valve replacement and transcatheter mitral valve replacement in severe mitral annular calcification. We report a case of concomitant redo transcatheter aortic valve replacement and transcatheter mitral valve replacement in mitral annular calcification in a patient with radiation heart disease. (Level of Difficulty: Advanced.).

Keywords: AR, aortic regurgitation; ASD, atrial septal defect; LVOT, left ventricular outflow tract; MAC, mitral annular calcification; MR, mitral regurgitation; TAVR, transcatheter aortic valve replacement; TMVR, transcatheter mitral valve replacement; chemoradiotherapy; mitral valve; mitral valve stenosis; transcatheter aortic valve replacement; transcatheter mitral valve replacement.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Relationship Between the Coronary Ostia and the Patient’s Original Aortic Replacement Valve Coronary angiogram of the left main coronary artery showing minimal coronary disease and demonstrating the relationship between the coronary ostia and the patient’s original aortic replacement valve. ^23-mm Sapien XT. ∗Left main coronary artery. ∗∗Left anterior descending artery.
Figure 2
Figure 2
Paravalvular Leak Closure A 12-mm self-expandable nitinol mesh occlusion device (∗∗) was deployed across the paravalvular leak. ∗Redo TAVR with 23-mm Sapien S3.
Figure 3
Figure 3
Iatrogenic Atrial Septal Defect Closure An 8-mm atrial septal defect occluder (∗∗) was deployed across the iatrogenic atrial septal defect. ∗12-mm self-expandable nitinol mesh occlusion device. ^Redo TAVR. ^^TMVR ViMAC.
See this image and copyright information in PMC

References

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