Minimally Invasive Direct Access Balloon-Expandable Transcatheter Mitral Valve Replacement for Extensive Mitral Annular Calcification after Transcatheter Aortic Valve Replacement

Innovations (Phila). May/Jun 2018;13(3):222-225. doi: 10.1097/IMI.0000000000000496.

Abstract

Mitral annular calcification can pose a formidable surgical challenge in the setting of mitral valve replacement for mitral stenosis. Although there are reports of transapical valve-in-valve transcatheter mitral valve replacement in the setting of degenerated bioprosthetic mitral valve replacement, there is less experience with transcatheter mitral valve replacement for mitral annular calcification. This report describes a patient who previously received a transcatheter aortic valve replacement and then subsequently underwent a minimally invasive right thoracotomy for transcatheter mitral valve replacement with a successful result. We discuss technical pearls and operative considerations based on an extensive experience with minimally invasive valve surgery from a right mini-thoracotomy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Minimally Invasive Surgical Procedures / methods*
  • Mitral Valve / surgery*