Introduction
Re-interventions for degenerated bioprosthetic valves are known to carry
additional risk of postoperative morbidity and mortality; in elderly
patients aged > 75 years this is particularly evident with
an estimated postoperative risk of mortality that may exceed 10%.
[1]
Transcatheter procedures have proven to be a safe alternative to
conventional redo cardiac surgery in complex redo cases although they
pose additional challenges especially in the setting of valve-in-valve
deployment due to the close anatomical relationships of the mitro-aortic
valves.
We report a successful two-steps valve-in-valve procedure for the
replacement of failed mitro-aortic bioprosthesis.