Abstract
Transcatheter mitral valve (MV) replacement is an option in complex MV disease with potentially more predictable treatment outcomes and less invasiveness that increases the treatment spectrum to high-risk or non-surgical patients. We present an interesting case of failed MV bioprosthesis who presented with progressively worsening heart failure for heart transplant evaluation, but was successfully managed with transcatheter mitral valve-in-valve replacement (TMViVR). This case illustrates the pivotal role of TMViVR utilization in addressing complex cardiac scenarios, particularly when re-operative surgical MV replacement poses a high risk and also bridging the gap between the present and future heart transplantation preparations by paving the way for a well-prepared patient in the subsequent phase. The lifetime disease management and patient-centric approach with meticulous risk assessment reinforces the importance of shared decision-making in complex cases.
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Chag, M., Gupta, K., Shah, D. et al. Expanding treatment horizons: transcatheter mitral valve-in-valve replacement in bridging to heart transplant. Indian J Thorac Cardiovasc Surg 40, 479–483 (2024). https://doi.org/10.1007/s12055-023-01680-8
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DOI: https://doi.org/10.1007/s12055-023-01680-8