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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

ARMIJO, Germán et al. Percutaneous implantation of an aortic prosthetic valve on a degenerated mitral bioprosthesis. Report of one case. Rev. méd. Chile [online]. 2021, vol.149, n.1, pp.137-141. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872021000100137.

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.

Keywords : Heart Valve Prosthesis; Mitral Valve Insufficiency; Transcatheter Aortic Valve Replacement.

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