Transcatheter Aortic Valve Implantation in Patients With Mitral Prosthesis

Reoperation was reported in 2 cases: a 60-year-old woman with severely impaired left ventricular function underwent cardiac transplantation and concomitant CV prosthesis removal, and a 30-year-old man with pre-existing mitral prosthesis dysfunction and residual moderate or severe perivalvular leak a...

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Veröffentlicht in:	Journal of the American College of Cardiology 2012-10, Vol.60 (18), p.1841-1842
Hauptverfasser:	Barbanti, Marco, MD, Ussia, Gian Paolo, MD, Latib, Azeem, MD, De Marco, Federico, MD, Fiorina, Claudia, MD, Santoro, Gennaro, MD, Bedogni, Francesco, MD, Colombo, Antonio, MD, Bruschi, Giuseppe, MD, Ettori, Federica, MD, Agostini, Cecilia, MD, Brambilla, Nedy, MD, Petronio, Anna Sonia, MD, Tarantini, Giuseppe, MD, Napodano, Massimo, MD, De Carlo, Marco, MD, Confessore, Pierpaolo, MD, Tamburino, Corrado, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aged, 80 and over Anticoagulants Aortic Valve - surgery Aortic Valve Stenosis - physiopathology Aortic Valve Stenosis - therapy Cardiology Cardiology - methods Cardiovascular Drug therapy Female Heart attacks Heart failure Heart Valve Prosthesis Heart Valve Prosthesis Implantation - methods Humans Internal Medicine Male Middle Aged Mitral Valve - physiopathology Mortality Prostheses Risk Surgery Thoracic surgery Treatment Outcome
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Beschreibung
Zusammenfassung:	Reoperation was reported in 2 cases: a 60-year-old woman with severely impaired left ventricular function underwent cardiac transplantation and concomitant CV prosthesis removal, and a 30-year-old man with pre-existing mitral prosthesis dysfunction and residual moderate or severe perivalvular leak after TAVI underwent combined surgical aortic and mitral replacement with mechanical prostheses 2 months after TAVI, after the clinical and hemodynamic conditions improved, to allow a surgical approach. [...]a minimum significant reduction in mean systolic pulmonary arterial pressure was reported (from 49.5 ± 15.6 mm Hg to 43.4 ± 10.2 mm Hg, p = 0.032).
ISSN:	0735-1097 1558-3597
DOI:	10.1016/j.jacc.2012.07.037