Concomitant transcatheter transfemoral double native valve replacement for severe aortic stenosis and severe mitral

Navneet Mehta1, Abhinav Gupta1, Ravinder S Rao2

  • 1Cardiac Anaesthesia, EHCC, Jaipur, Rajasthan, India.

Insights

Transcatheter aortic and mitral valve replacement is a viable option for patients with severe stenosis and complex calcification. This approach offers a successful alternative to traditional surgery for high-risk individuals.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Concomitant severe aortic stenosis and mitral stenosis present significant surgical challenges.
  • Mitral annular calcification and porcelain aorta increase operative risk for traditional valve replacement.

Observation:

  • A 54-year-old male patient presented with severe aortic and mitral stenosis.
  • The patient was deemed high-risk for conventional surgery due to extensive aortic and mitral annular calcification.

Findings:

  • Successful transcatheter aortic valve replacement and transcatheter mitral valve replacement were performed in native valves.
  • This represents a successful double native valve transcatheter intervention in a complex case.

Implications:

  • Transcatheter valve replacement offers a minimally invasive solution for complex valve disease.
  • This case expands the potential application of transcatheter interventions to high-risk patients with severe calcification.

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