A Hybrid Double Access for Transcatheter Mitral Valve-In-Valve Implantation

Ann Thorac Surg. 2015 Jun;99(6):e149-50. doi: 10.1016/j.athoracsur.2015.02.101.


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.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Bioprosthesis / adverse effects*
  • Cardiac Catheterization*
  • Echocardiography, Three-Dimensional
  • Echocardiography, Transesophageal
  • Female
  • Follow-Up Studies
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Mitral Valve / surgery*
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / surgery
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / etiology
  • Mitral Valve Stenosis / surgery*
  • Prosthesis Design
  • Prosthesis Failure
  • Reoperation