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  • Title: Three-dimensional transesophageal echocardiography assessment of a successful transcatheter mitral valve in valve implantation for degenerated bioprosthesis.
    Author: Théron A, Gariboldi V, Grisoli D, Maysou LA, Jaussaud N, Morera P, Cuisset T, Quilici J, Thuny F, Riberi A, Avierinos JF, Collart F.
    Journal: Echocardiography; 2013 Jul; 30(6):E152-5. PubMed ID: 23488548.
    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.
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