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TMVR after TA-TAVR: a re-redo surgery-case report
Nina Sophie Pommert1,2, Thomas Puehler2,3, Inga Voges4
1Department of Cardiac Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Frontiers in Cardiovascular Medicine
|June 12, 2024
Summary
Transcatheter mitral valve replacement (TMVR) is feasible in patients with prior transapical aortic valve replacement (TA-TAVR). This case report details a successful tertiary TMVR using a redo transapical approach, demonstrating good valve alignment and patient improvement.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Severe mitral regurgitation (MR) poses a significant clinical challenge.
- Prior transapical transcatheter aortic valve replacement (TA-TAVR) is a relative contraindication for transcatheter mitral valve replacement (TMVR) due to potential complications.
- Tertiary cardiac surgery, especially with prior interventions, requires careful planning and execution.

