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Mitro-Aortic Valve-in-Valve Procedures: Many Challenges in Little Space
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  • Marco Gennari,
  • Piero Trabattoni,
  • Gianluca Polvani,
  • Marco Agrifoglio
Marco Gennari
Centro Cardiologico Monzino Istituto di Ricovero e Cura a Carattere Scientifico
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Piero Trabattoni
Centro Cardiologico Monzino Istituto di Ricovero e Cura a Carattere Scientifico
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Gianluca Polvani
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Marco Agrifoglio
Centro Cardiologico Monzino Istituto di Ricovero e Cura a Carattere Scientifico
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Abstract

Redo multiple valve replacement is known to carry additional risk of morbidity and mortality. Currently, a transcatheter-based valve-in-valve approach could be useful in reducing potential serious consequences. On the other hand, this approach poses several technical challenges regarding the device and procedural aspects of the procedure. We present the case of a 78-year-old man who presented with symptoms of heart failure due to mitro-aortic bioprosthesis degenerations who was deemed to be at extremely high risk for conventional redo surgery. A two-steps single admission transcatheter-based approach was planned with a transfemoral aortic valve-in-valve procedure followed by a trans-apical mitral valve-in-valve implantation. The outcome was good and the recovery was fast.

Peer review status:Published

17 May 2020Submitted to Journal of Cardiac Surgery
18 May 2020Submission Checks Completed
18 May 2020Assigned to Editor
18 May 2020Reviewer(s) Assigned
19 May 2020Review(s) Completed, Editorial Evaluation Pending
20 May 2020Editorial Decision: Revise Major
25 May 20201st Revision Received
26 May 2020Assigned to Editor
26 May 2020Submission Checks Completed
26 May 2020Reviewer(s) Assigned
09 Jun 2020Review(s) Completed, Editorial Evaluation Pending
09 Jun 2020Editorial Decision: Revise Minor
10 Jun 20202nd Revision Received
11 Jun 2020Submission Checks Completed
11 Jun 2020Assigned to Editor
11 Jun 2020Reviewer(s) Assigned
16 Jun 2020Review(s) Completed, Editorial Evaluation Pending
16 Jun 2020Editorial Decision: Accept
Aug 2020Published in Journal of Cardiac Surgery volume 35 issue 8 on pages 2089-2092. 10.1111/jocs.14806