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  • Title: Combined Transapical Valve-in-Valve/Valve-in-Ring Transcatheter Mitral Valve Implantation and Paravalvular Leak Closure for Failed Mitral Valve Surgery.
    Author: Murdoch DJ, Sathananthan J, Cheung A, Webb JG.
    Journal: Can J Cardiol; 2018 Aug; 34(8):1088.e3-1088.e6. PubMed ID: 30049359.
    Abstract:
    Recurrent mitral regurgitation (MR) after mitral valve repair or replacement is associated with adverse outcomes. MR may be transvalvular, paravalvular/para-ring, or both, and careful evaluation with transesophageal echocardiography is required. Often patients have high risk of morbidity or mortality, and transcatheter therapies are emerging as an alternative to reoperation. We present 2 cases of complex recurrent MR treated by a transapical transcatheter approach and discuss important clinical and technical considerations.
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