Transcatheter mitral valve replacement is a new option to treat deteriorated surgical prosthesis in high surgical risk patients. The number of valve-in-valve mitral procedures has been growing in the last few years. This case reports an initial experience with this type of procedure, safely and effectively performed in an elderly female patient with high-risk for valve replacement.
Transeptal valve-in-valve transcatheter mitral valve replacement in patient with deteriorated mitral bioprosthesis
Carmo,Tainá Valentim de Lima Correia Coelho and Santana,Nilton de Oliveira and Fonseca,Mauro José Mello and Duarte,Renata Nascimento and Esteves,Vinícius Borges Cardoso. Transeptal valve-in-valve transcatheter mitral valve replacement in patient with deteriorated mitral bioprosthesis. J Transcat Intervent [online]. 2022, vol.30, [cited 2026-03-06], Available from: <https://jotci.org/article/transeptal-valve-in-valve-transcatheter-mitral-valve-replacement-in-patient-with-deteriorated-mitral-bioprosthesis/>. ISSN . .
Carmo,Tainá Valentim de Lima Correia Coelho; Santana,Nilton de Oliveira; Fonseca,Mauro José Mello; Duarte,Renata Nascimento; Esteves,Vinícius Borges Cardoso. Transeptal valve-in-valve transcatheter mitral valve replacement in patient with deteriorated mitral bioprosthesis. J Transcat Intervent, v.30, May. 2022. Available from: <https://jotci.org/article/transeptal-valve-in-valve-transcatheter-mitral-valve-replacement-in-patient-with-deteriorated-mitral-bioprosthesis/>. acess on 06 Mar. 2026. .
Carmo,Tainá Valentim de Lima Correia Coelho, & Santana,Nilton de Oliveira, & Fonseca,Mauro José Mello, & Duarte,Renata Nascimento, & Esteves,Vinícius Borges Cardoso. (2022). Transeptal valve-in-valve transcatheter mitral valve replacement in patient with deteriorated mitral bioprosthesis. J Transcat Intervent, 30, .
CarmoTainá Valentim de Lima Correia Coelho, SantanaNilton de Oliveira, FonsecaMauro José Mello, DuarteRenata Nascimento, EstevesVinícius Borges Cardoso. Transeptal valve-in-valve transcatheter mitral valve replacement in patient with deteriorated mitral bioprosthesis. J Transcat Intervent [Internet]. 2022 May [cited 2026 Mar 06]; 30: Available from: https://jotci.org/article/transeptal-valve-in-valve-transcatheter-mitral-valve-replacement-in-patient-with-deteriorated-mitral-bioprosthesis/. .
Figure 1
Pre-procedural transesophageal echocardiography. (A) Evidence of fracture in previous mitral valve bioprosthesis. (B) Color-Doppler showing important mitral regurgitation.
, Nilton de Oliveira Santana
