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Simultaneous transcatheter aortic and mitral valve-in-valve replacement: A case report
1Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Medicine
|January 21, 2026
Summary
This case study highlights successful re-performing combined transcatheter aortic and mitral valve-in-valve replacement in China. Comprehensive perioperative care ensured a patient
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Cardiac Surgery
Background:
- Bioprosthetic valve failure necessitates complex re-interventions, with limited reports on combined transcatheter aortic and mitral valve-in-valve replacement in China.
- Secondary bivalve procedures present significant challenges, including increased risk of complications like pericardial tamponade and arrhythmias, demanding high surgical expertise.
- Optimal perioperative care is crucial for managing patients undergoing these high-risk procedures.
Purpose of the Study:
- To report a case of successful combined transcatheter aortic and mitral valve-in-valve replacement following bioprosthetic valve failure.
- To emphasize the critical role of comprehensive perioperative management in achieving favorable outcomes for complex cardiac interventions.
Main Methods:
- A case of bioprosthetic valve failure after transcatheter aortic and mitral valve-in-valve replacement was managed.
- Three-dimensional echocardiography was utilized for precise valve function assessment.
- Key perioperative interventions included intensive monitoring, hemodynamic management, respiratory support, complication prevention, and early cardiac rehabilitation.
Main Results:
- Post-procedure, 3D echocardiography confirmed mild mitral regurgitation and normalized aortic valve parameters.
- The patient experienced a good quality of life with no adverse cardiovascular events at 1-year follow-up.
- Successful recovery and improved quality of life were achieved through meticulous care.
Conclusions:
- An integrated perioperative pathway is essential for patients undergoing simultaneous transcatheter bivalve replacement, especially those with comorbidities.
- This approach can enhance clinical tolerance and mitigate risks associated with complex cardiac procedures.
- Focusing on comprehensive perioperative care is key to improving outcomes in challenging valve interventions.
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