Case report: Transapical transcatheter double valve-in-valve replacement of degenerated aortic and mitral bioprosthetic valves with limited radiopaque landmarks

Abstract

A 67-year-old male patient who had undergone double valve replacement 11 years before presented with severe dyspnea to our department. The bioprosthetic aortic and mitral valves have failed. Because of the high risk of redo surgery. We perform a simultaneous transapical transcatheter valve-in-valve replacement of degenerated aortic and mitral bioprosthetic valves with limited radiopaque landmarks using the second-generation self-expanding J-valve. The post-operative course was stable and the patient was discharged on post-operative day eight.

Simultaneous management of aortic and mitral regurgitation through one-stage transcatheter aortic valve replacement and transcatheter edge-to-edge repair: case report

“…A previous case report demonstrated the feasibility and efficacy of a double valve-in-valve procedure for a failed mitral and aortic bioprosthetic valve using a self-expanding valve via a transapical approach, where a J-Valve was utilized ( 12 ). Due to its large ventricular outflow tract opening and short stent frame design, the J-Valve was well-suited for this patient's anatomy and helped minimize the risk of left ventricular outflow tract obstruction.…”