• A & A case reports · Oct 2017

    Percutaneous Valve in Valve Implantation for Dysfunctional Bioprosthetic Valves: A Case Report.

    • Ting Hai, Yannis Amador, Jelliffe Jeganathan, Arash Khamooshian, Robina Matyal, and Feroze Mahmood.
    • From the *Department of Anesthesiology, Peking University People's Hospital, Beijing, China; †Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; and ‡Department of Cardio-Thoracic Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
    • A A Case Rep. 2017 Oct 15; 9 (8): 227-232.

    AbstractPercutaneous valve-in-valve therapy is a life-saving procedure for patients at high risk of reoperation due to dysfunctional bioprosthetic valves. We have reviewed 3 typical cases of a valve-in-valve procedure using high-quality images to demonstrate the suitability of this method for aortic, mitral, and tricuspid positions. Three-dimensional transesophageal echocardiography combined with other modalities such as computerized tomography and fluoroscopy are key elements for anesthesia and procedural guidance, especially as immediate tools to assess valvular function and specific procedure-related complications.

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