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Right Mini-Thoracotomy Beating-Heart Mitral Valve Replacement With a SAPIEN 3 Valve for Severe Circumferential Mitral Annular Calcification.

ABSTRACT: Mitral annular calcification (MAC) is a degenerative process that can cause mitral valve stenosis. Conventional surgical mitral valve replacement (MVR) for MAC with mitral stenosis can be challenging and associated with significant risk. Open surgical MVR with a transcatheter valve can offer an alternative in select situations. When such a strategy is not feasible, a beating-heart, mini-thoracotomy MVR with a SAPIEN 3 transcatheter heart valve can be considered. The novel teaching point of this case is use of an alternative approach for managing severe mitral stenosis secondary to MAC, when conventional surgical and transcatheter strategies are not safe or possible.

SUBMITTER: Fatehi Hassanabad A

PROVIDER: S-EPMC9402947 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Right Mini-Thoracotomy Beating-Heart Mitral Valve Replacement With a SAPIEN 3 Valve for Severe Circumferential Mitral Annular Calcification.

Fatehi Hassanabad Ali A Adams Corey A CA Kent William D T WDT

CJC open 20220406 8

Mitral annular calcification (MAC) is a degenerative process that can cause mitral valve stenosis. Conventional surgical mitral valve replacement (MVR) for MAC with mitral stenosis can be challenging and associated with significant risk. Open surgical MVR with a transcatheter valve can offer an alternative in select situations. When such a strategy is not feasible, a beating-heart, mini-thoracotomy MVR with a SAPIEN 3 transcatheter heart valve can be considered. The novel teaching point of this ...[more]

PMID: 36035734

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The Art of SAPIEN 3 Transcatheter Mitral Valve Replacement in Valve-in-Ring and Valve-in-Mitral-Annular-Calcification Procedures.

Project description:The SAPIEN 3 is the only transcatheter heart valve commercially available for compassionate transcatheter mitral valve replacement in patients with previous mitral surgical rings and mitral annular calcification (valve in ring [VIR] and valve in mitral annular calcification [VIM]). Reported outcomes have been inconsistent or poor. The review provides an overview of the authors' approach to achieve largely consistent results despite the intrinsic limitations of SAPIEN 3 VIM and VIR. The approach includes bedside modifications of the valve implant, the delivery system, and of the cardiac substrate itself. Until purpose-built devices are readily available, VIR and VIM procedures will require aggressive multidisciplinary cooperation, meticulous planning and execution, and postprocedure management by experienced, high-volume operators.

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Surgical mitral valve replacement using direct implantation of Sapien 3 valve in a patients with severe mitral annular calcification without adjunctive techniques, a case report.

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Early outcomes of transatrial mitral valve replacement in severe mitral annular calcification.

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Sex Differences in Extensive Mitral Annular Calcification With Associated Mitral Valve Dysfunction.

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