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Prosthetic Heart Valve Interactions and Their Clinical Significance During Transcatheter Left-Sided Double Valve
Vasu Nandhakumar1, Aashish Chopra1, Vignesh Gomathinayagam1
1Department of Cardiology, Institute of Cardio Vascular Diseases, The Madras Medical Mission Hospital, Chennai, Tamil Nadu, India.
Simultaneous transcatheter aortic valve implantation and mitral valve-in-valve procedures require careful planning to avoid prosthetic valve interactions. Preprocedure imaging and simulations effectively predicted and managed these potential complications in three patients.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Biomedical Engineering
Background:
- Simultaneous transcatheter aortic valve implantation (TAVI) and mitral valve-in-valve (MViV) procedures present a risk of prosthetic valve interactions.
- Effective preprocedural planning is crucial for mitigating these risks.
Observation:
- Computerized tomography (CT) and bench model simulations were utilized for preprocedure planning in three patients undergoing combined TAVI and MViV.
- These methods aimed to predict potential interactions between the implanted prosthetic valves.
Findings:
- The study details the clinical and procedural aspects of these three cases.
- Preprocedure planning using CT and bench models successfully identified and informed the management of prosthetic valve interactions.
Implications:
- This approach enhances the safety and efficacy of complex TAVI and MViV procedures.
- Advanced imaging and simulation techniques are valuable tools for complex structural heart interventions.
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