Live Hemodynamics-Assisted Simultaneous Aortic and Mitral Valve-in-Valve Replacement.

ABSTRACT:

Background

Bioprosthetic valve failure is a growing challenge, particularly in high-risk patients who are poor surgical candidates. Simultaneous valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve replacement (TMVR) via a fully percutaneous approach remains a novel and evolving strategy with limited data.

Case summary

A 70-year-old man with failed aortic and mitral bioprostheses leading to severe intraprosthetic regurgitation presented with progressive heart failure symptoms. Owing to high surgical risk, he underwent transfemoral ViV-TAVR and transeptal ViV-TMVR using the SavvyWire for real-time hemodynamic monitoring and dedicated left ventricular pacing. The procedure was successful, with immediate hemodynamic improvement and n

SUBMITTER: Mengi S 

PROVIDER: S-EPMC12441542 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature