Mitral Valve Dynamics in Severe Aortic Stenosis before and after Aortic Valve Replacement

2013 ◽  
Vol 26 (6) ◽  
pp. 606-614 ◽  
Author(s):  
Wendy Tsang ◽  
Federico Veronesi ◽  
Lissa Sugeng ◽  
Lynn Weinert ◽  
Masaaki Takeuchi ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Severe Aortic Stenosis ◽  
Before And After ◽  
Valve Dynamics

scholarly journals Selected Abstracts of the TEEPGI 2014 Workshop

2014 ◽  
Vol 2 (1) ◽  
pp. 42-48
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Left Ventricle ◽  
Mitral Regurgitation ◽  
Aortic Stenosis ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Severe Aortic Stenosis ◽  
Mitral Leaflet ◽  
Axis View

ABSTRACT Mitral valve perforation is most commonly due to infective endocarditis. Iatrogenic mitral valve perforation following aortic valve replacement has not been described previously. A 57 years male patient presented with complaints of progressive dyspnea on exertion and occasional palpitations. A preoperative diagnosis of severe aortic stenosis, sclerodegenerative aortic valve with normal left ventricle function was made on transthoracic echocardiography. A coronary angiogram showed single vessel disease involving proximal left anterior descending artery causing 80% stenosis. The patient was planned for aortic valve replacement (AVR) and CABG. Pre bypass TEE showed bicuspid aortic valve, thick, calcified, severe aortic stenosis and normal left ventricle systolic function. Mitral valve was morphologically normal with mild central mitral regurgitation jet. Patient underwent CABG and AVR under cardiopulmonary bypass support. Post CPB TEE examination showed 2 jets of mitral regurgitation in midesophageal aortic long-axis view (Fig. 1). There was a mild central MR jet and an additional mild MR jet from the body of anterior mitral leaflet. Transgastric short axis view showed turbulence in the region of A1 scallop of anterior mitral leaflet. We present the intraoperative TEE images of the patient with a discussion on the role of TEE in detection of mitral valve perforation and surgical decision making.

scholarly journals Awake Surgical Mitral Valve Repair after Transcatheter Aortic Valve Replacement

2021 ◽  
Vol 10 (01) ◽  
pp. e15-e17
Author(s):  
Aina Hirofuji ◽  
Hirotsugu Kanda ◽  
Yuya Kitani ◽  
Hiroyuki Kamiya
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mitral Valve Repair ◽  
Transcatheter Aortic Valve Replacement ◽  
Severe Aortic Stenosis ◽  
Valve Repair ◽  
Transcatheter Aortic Valve

AbstractTranscatheter aortic valve replacement has become a popular choice for cases with severe aortic stenosis. However, when severe mitral regurgitation is comorbid in high-risk patients with severe aortic stenosis, therapeutic options must be weighed for each case. Here we present a very frail 88-year-old patient with severe aortic stenosis and severe mitral valve regurgitation who underwent a successful awake minimally invasive mitral valve repair after transcatheter aortic valve replacement.

Sign in / Sign up

Export Citation Format

Share Document