Transapical Transcatheter Mitral Valve-in-Valve Implantation: A ...

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Results• From July, 2007 to April, 2010• 8 patients underwent transapical TVIVi at St.Paul’s Hospital, Vancouver, Canada• All turned down by >2 surgeons for conventionalredo MVR
Patient Age STS Risk Score(%)NYHAClass1 80 20.6 32 78 16.4 33 80 11.9 44 84 19.0 35 73 18.5 46 77 7.3 37 84 19.1 48 89 28.2 4Mean 81± 5 17.6± 6.2ComorbiditiesCABG/MVRCAD, Pulm HTN, HTN, COPD, A. fib, CRICABG/MVRSevere AS and MV SVD, Isch CM, HTN,A.fib, CRI, HemolysisMVRHTN, COPD, Alcoholic cirrhosisMVRPulm HTN, A.fibCABG/MVR X 2CAD, HTN, A.fib, CRICABG/MVRCAD, A. fib, PVDAVR/MVR, Redo AVR/TV repairA.fib, CRIMVRHTN, A.fib, CRI, COPD, Pulm HTN
Page 1 and 2: Transapical Transcatheter Mitral Va
Page 3 and 4: Structural Valve Deterioration• I
Page 5 and 6: Objectives• Feasibility and Safet
Page 7 and 8: Transapical Transcatheter Mitral Va
Page 9: Transapical AV implantation and Mit
Page 13 and 14: • All had successful implantsResu
Page 15 and 16: • No 30day mortalityResults•
Page 17: Summary• Provided good early clin

Transapical Transcatheter Mitral Valve-in-Valve Implantation: A ...

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