JACC. Case reports · 2025
Concomitant Transcatheter Aortic and Mitral Valve Replacement.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Echarte-Morales Julio, Caneiro-Queija Berenice, Barreiro-Pérez Manuel, Estévez-Cid Francisco, González-Ferreiro Rocío, Piñón-Esteban Miguel, Baz-Alonso José Antonio, Estévez-Loureiro Rodrigo, Iñiguez-Romo Andrés
Аннотация
BACKGROUND: Multivalvular heart disease is a highly prevalent condition that causes significant morbidity and mortality.
CASE SUMMARY: A 75-year-old man presented with worsening functional class and asthenia. A transthoracic echocardiogram showed severe aortic stenosis and severe mitral stenosis. The patient underwent transcatheter aortic and mitral valve replacement in the same procedure.
DISCUSSION: There is a lack of solid evidence regarding the management of multivalvular disease. Severe mitral stenosis can influence aortic stenosis, potentially leading to a low-flow, low-gradient profile. Establishing a streamlined workflow between transesophageal echo and cardiac tomography optimizes procedural safety, efficiency, and outcomes in patients with concomitant mitral and aortic disease.
TAKE-HOME MESSAGES: This case highlights the relevance of multimodality imaging for procedural planning in complex multivalvular disease. Concomitant transcatheter implantation of transcatheter aortic valve replacement for aortic stenosis followed by a transcatheter mitral valve replacement in mitral stenosis is a feasible option for patients at high surgical risk.
CASE SUMMARY: A 75-year-old man presented with worsening functional class and asthenia. A transthoracic echocardiogram showed severe aortic stenosis and severe mitral stenosis. The patient underwent transcatheter aortic and mitral valve replacement in the same procedure.
DISCUSSION: There is a lack of solid evidence regarding the management of multivalvular disease. Severe mitral stenosis can influence aortic stenosis, potentially leading to a low-flow, low-gradient profile. Establishing a streamlined workflow between transesophageal echo and cardiac tomography optimizes procedural safety, efficiency, and outcomes in patients with concomitant mitral and aortic disease.
TAKE-HOME MESSAGES: This case highlights the relevance of multimodality imaging for procedural planning in complex multivalvular disease. Concomitant transcatheter implantation of transcatheter aortic valve replacement for aortic stenosis followed by a transcatheter mitral valve replacement in mitral stenosis is a feasible option for patients at high surgical risk.