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Published on: August 8, 2025
A Hybrid Double Access for Transcatheter Mitral Valve-In-Valve Implantation
Paolo Pagnotta1, Marco G Mennuni1, Giuseppe Ferrante1
1Department of Interventional Cardiology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Abstract:
We present a case of hybrid mitral valve-in valve implantation. The planned transapical approach failed due to the inability to cross the degenerated stenotic mitral bioprosthesis. An alternative strategy was performed: first, an anterograde crossing of mitral stenosis, and then, a guidewire externalization through the apex by using a snare. To our knowledge, this is the first described case of double approach mitral valve-in valve implantation.
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