Transcatheter aortic valve implantation combined with other heart interventions: current status and future perspectives

Abstract

Transcatheter aortic valve implantation is a well-proven effective treatment option for patients with severe symptomatic aortic valve stenosis requiring valve replacement in all risk classes. Frequently, however, other concomitant cardiovascular conditions demanding intervention are present, and a combined approach is required. Here, we discuss some of the most frequent combined settings. The decision about which approach (staged or simultaneous) is more suitable for each patient needs to be based on individual characteristics and clinical, anatomical, and procedure-related factors.

Simultaneous Transcatheter Aortic and Mitral Native Valve Replacement: A Step-by-Step Procedural Approach

“…In contrast to surgical double-valve replacement, for STVR, the aortic valve is replaced first. This allows the ventricle to have a lower pressure and enables it to handle the increased blood volume after mitral valve replacement for MS. 18 In addition, since the aortic and mitral annuli are contiguous, bridged by the aortomitral fibrous curtain, some degree of obstruction could happen during the new aortic THV deployment if the mitral had been treated first. 19 …”