Open atrial transcatheter mitral valve replacement in patients with mitral annular calcification

The Journal of Thoracic and Cardiovascular Surgery
Hyde M RussellIsaac M George

Abstract

Mitral valve replacement in the setting of severe mitral annular calcification remains a surgical challenge. Transcatheter mitral valve replacement (TMVR) using an aortic balloon-expandable transcatheter heart valve is emerging as a potential treatment option for high surgical risk patients. Transseptal, transapical, or transatrial access is not always feasible, so an understanding of alternative implantation techniques is important. The authors sought to present a step-by-step description of a contemporary transatrial TMVR technique using balloon-expandable aortic transcatheter heart valves. This procedure has evolved over time to address valve migration, left ventricular outflow tract obstruction, and paravalvular leak. The authors present a refined technique that has been associated with the most reproducible outcomes. A step-by-step description of the TMVR technique and outcomes of 8 patients treated using this technique are described. Baseline patient clinical and echocardiographic characteristics and 30-day post-TMVR outcomes are presented. Eight patients underwent transatrial TMVR at a single institution. Five had previous cardiac surgery. Mean STS score was 8%. Technical success by MVARC (Mitral Valve Academic Research ...Continue Reading

References

Apr 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·A F CarpentierJ Y Relland
Jul 1, 1997·Journal of Cardiac Surgery·F J BaumgartnerJ M Robertson
Mar 26, 2003·Circulation·Caroline S FoxUNKNOWN Framingham Heart Study
Sep 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Christopher M FeindelSusan Armstrong
Mar 5, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Hiroshi OkamotoTakao Niimi
Apr 1, 2006·Heart, Lung & Circulation·Wail O El-Amin, Duncan S Thomson
Nov 28, 2007·Journal of Cardiac Surgery·Masaru YoshikaiHisashi Satoh
Feb 14, 2008·The Heart Surgery Forum·Onur S GokselAhmet T Yilmaz
Aug 11, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hiroshi KurazumiKimikazu Hamano
Feb 14, 2013·General Thoracic and Cardiovascular Surgery·Yukikatsu Okada
May 18, 2013·The Journal of Thoracic and Cardiovascular Surgery·Syed Tarique HussainGösta B Pettersson
Jul 3, 2013·Interactive Cardiovascular and Thoracic Surgery·Parla AstarciGebrine El Khoury
Jul 13, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Enrico FerrariCarlo Marcucci
Dec 10, 2013·Heart, Lung & Circulation·Vidyadhar S LadChua Yeow Leng
Mar 25, 2014·The Journal of Thoracic and Cardiovascular Surgery·Sameh M Said, Hartzell V Schaff
Oct 21, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Masataka YamazakiShuichiro Takanashi
Oct 24, 2015·Journal of the American College of Cardiology·Yigal AbramowitzRaj R Makkar
Nov 8, 2015·The Annals of Thoracic Surgery·Tomoya UchimuroShuichirou Takanashi
May 23, 2016·JACC. Cardiovascular Imaging·Dee Dee WangWilliam O'Neill
Oct 16, 2016·Journal of the American College of Cardiology·Giuliana CaprettiAlec Vahanian
Dec 23, 2016·The Annals of Thoracic Surgery·Marek PolomskyJohn M Brown
Feb 12, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marvin H EngWilliam O'Neill
Apr 14, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kareem SalhiyyahSteve Livesey
Aug 26, 2017·The Annals of Thoracic Surgery·Michael Ghosh-Dastidar, Vinayak Bapat
Sep 28, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Abdallah El SabbaghSameh M Said
Jan 24, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Abdallah El SabbaghThomas A Foley
Jan 25, 2018·The Annals of Thoracic Surgery·Valérie Lafrenière-BessiFrédéric Jacques

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Citations

Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Mathias Van HemelrijckCarlos-A Mestres
Jan 8, 2019·The Journal of Thoracic and Cardiovascular Surgery·J James EdelmanVinod H Thourani
Jan 15, 2019·The Journal of Thoracic and Cardiovascular Surgery·Michael A Borger, David M Holzhey
Jun 4, 2021·Journal of Cardiac Surgery·Abdullah Nasif, Saqib Masroor

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