Artículo de revista
Implantación percutánea transeptal de válvula protésica aórtica sobre bioprótesis mitral degenerada
Date
2021Registration in:
Revista Médica Chile 2021; 149: 137-141
0034-9887
Author
Armijo, Germán
Puentes, Ángel
Ceballos, Alejandro
Quezada, Mauricio
Tamayo, Carlos
Donoso, Hernán
Ramírez, Pablo
Backhouse, Christian
Nombela Franco, Luis
Institutions
Abstract
Reintervention of a mitral degenerated bioprosthesis has a high surgical risk,
especially in elderly patients with multiple comorbidities. We report a 74 years
old female with two previous cardiac surgical procedures and a new structural
mitral bioprosthesis deterioration with severe mitral regurgitation. Considering
her high-surgical risk, a fully percutaneous treatment was performed with a
balloon-expandable aortic valve in mitral position (valve-in-valve) through a
transseptal approach with a favorable outcome. This technique is an attractive
and effective option with a relatively low rate of complications that could solve
this challenging and complex disease.