Concomitant Transapical Aortic/Mitral Transcatheter Valve Replacement for Severe Aortic Stenosis and Mitral Annular Calcification

Alicja Zientara; Alison Duncan; Ee Ling Heng; Cesare Quarto

doi:10.1016/j.jaccas.2023.102025

Concomitant Transapical Aortic/Mitral Transcatheter Valve Replacement for Severe Aortic Stenosis and Mitral Annular Calcification

JACC Case Rep. 2023 Sep 14:24:102025. doi: 10.1016/j.jaccas.2023.102025. eCollection 2023 Oct 18.

Authors

Alicja Zientara¹, Alison Duncan², Ee Ling Heng², Cesare Quarto¹

Affiliations

¹ Department of Cardiac Surgery, Guy's and St Thomas' NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom.
² Institute of Cardiology, Guy's and St Thomas' NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom.

Abstract

Mitral regurgitation (MR) associated with mitral annular calcification (MAC) is surgically challenging, and valve-in-MAC procedures using transcatheter aortic valve replacement (TAVR) devices have poor outcomes. Transcatheter mitral valve replacement (TMVR) may be an option. Concomitant TAVR and TMVR are limited to 2 reports. We describe the first case of concomitant TAVR and TMVR-in-MAC procedures. (Level of Difficulty: Advanced.).

Keywords: mitral annular calcification; rheumatic valve disease; transcatheter aortic valve replacement; transcatheter mitral valve replacement.

Publication types

Case Reports