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  • Title: A Hybrid Double Access for Transcatheter Mitral Valve-In-Valve Implantation.
    Author: Pagnotta P, Mennuni MG, Ferrante G, Ornaghi D, Bragato R, Cappai A, Presbitero P.
    Journal: Ann Thorac Surg; 2015 Jun; 99(6):e149-50. PubMed ID: 26046908.
    Abstract:
    We present a case of hybrid mitral valve-in valve implantation. The planned transapical approach failed due to the inability to cross the degenerated stenotic mitral bioprosthesis. An alternative strategy was performed: first, an anterograde crossing of mitral stenosis, and then, a guidewire externalization through the apex by using a snare. To our knowledge, this is the first described case of double approach mitral valve-in valve implantation.
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