Failed transcatheter mitral valve-in-ring implantation followed by transapical valve-in-valve within the ring and ad hoc paravalvular leak closure
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CitationÇakal, B., Çakal, S., Güneş, H. M., Omaygenç, M. O. ve Yıldırım, A. (2021). Failed transcatheter mitral valve-in-ring implantation followed by transapical valve-in-valve within the ring and ad hoc paravalvular leak closure. Anatolian Journal of Cardiology, 25(1), 50-53. https://dx.doi.org/10.14744/AnatolJCardiol.2020.59163
There is a rapid emergence of transcatheter mitral valve-invalve (TMVIV) and valve-in-ring (TMVIR) techniques as an alternative to the conventional surgical valve replacement in ineligible patients requiring repeat surgery (1).The selection of a new transcatheter heart valve (THV) for degenerated surgical valves is relatively simple; however, the selection of valves for mitral rings is more nuanced because the rigidoval or D-shaped rings will not conform to the round shape of theprosthesis, thus posing a high risk of paravalvular leak (PVL).Although prior reports have described simultaneous TMVIVand percutaneous PVL closure techniques, our case report provides the first description of simultaneous transapical valve-invalve implantation and the closure of severe PVL after a failedtransseptal valve-in-ring procedure (2, 3).