Impingement of Single-Tilting Disc Mitral Prosthesis During Transcatheter Aortic Valve Replacement

John J Squiers; Katherine R Hebeler; J Michael DiMaio; Patrick Ogbue; Molly Szerlip; William T Brinkman

doi:10.1016/j.athoracsur.2016.05.030

Impingement of Single-Tilting Disc Mitral Prosthesis During Transcatheter Aortic Valve Replacement

Ann Thorac Surg. 2016 Dec;102(6):e529-e531. doi: 10.1016/j.athoracsur.2016.05.030.

Authors

John J Squiers¹, Katherine R Hebeler¹, J Michael DiMaio², Patrick Ogbue³, Molly Szerlip⁴, William T Brinkman⁵

Affiliations

¹ Baylor Research Institute, Plano, Texas.
² Baylor Research Institute, Plano, Texas; Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas.
³ Department of Anesthesiology, The Heart Hospital Baylor Plano, Plano, Texas.
⁴ Department of Cardiology, The Heart Hospital Baylor Plano, Plano, Texas.
⁵ Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas. Electronic address: william.brinkman@bswhealth.org.

PMID: 27847073
DOI: 10.1016/j.athoracsur.2016.05.030

Abstract

An 80-year-old woman with a medical history of mitral valve replacement with single-tilting disc prosthesis underwent transcatheter aortic valve replacement (TAVR). The tilting disc was noted to have abnormal motion after re-ballooning of the TAVR valve. Cardiopulmonary bypass was initiated, and the procedure was converted to surgical aortic valve replacement. After removal of the TAVR valve, the tilting disc moved freely. Although TAVR in patients with mitral prostheses is technically feasible, particular caution is necessary, and postdeployment dilation should be avoided.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aortic Valve Stenosis / complications
Aortic Valve Stenosis / surgery*
Cardiopulmonary Bypass
Female
Heart Valve Prosthesis Implantation*
Heart Valve Prosthesis*
Humans
Mitral Valve Insufficiency / complications
Mitral Valve Insufficiency / surgery*
Transcatheter Aortic Valve Replacement*