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a Division of Cardiac Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, Canada
b Division of Cardiology, St. Paul's Hospital, University of British Columbia, Vancouver, Canada
Accepted for publication October 8, 2008.
* Address correspondence to Dr Cheung, Division of Cardiac Surgery, St. Paul's Hospital, 1081 Burrard St, Vancouver, British Columbia, V6Z 1Y6, Canada (Email: acheung{at}providencehealth.bc.ca).
We describe a human transcatheter transapical mitral valve implant within a mitral bioprosthesis (valve-in-valve). A high-risk, 80-year-old man with symptomatic bioprosthetic mitral stenosis was positioned for anterior minithoracotomy. Left ventricular apical access was obtained. After balloon valvuloplasty, a cuffed, 26-mm Cribier-Edwards transcatheter valve (Edwards Lifesciences LLC, Irvine, CA) was deployed within the mitral xenograft, using rapid ventricular pacing. The transcatheter valve functioned properly postoperatively; however, the patient died of multiple organ dysfunction.
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