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Canadian Journal of Cardiology

Mitral Valve-in-Valve Over “Invisible” Prothesis With Thrombus Guided by CT-Fluoro Fusion

Published:April 12, 2022DOI:https://doi.org/10.1016/j.cjca.2022.04.001
      A 76-year-old woman with a history of permanent atrial fibrillation, chronic kidney disease (stage IV), and rheumatic heart valve disease with aortic and mitral surgical replacement (Labcor 19 and 27) and tricuspid annuloplasty in 2018 was admitted due to heart failure. Echocardiography showed prosthetic mitral valve dysfunction with severe regurgitation. After discussion, the Heart Team decided to perform valve-in-valve (ViV) owing to high risk (Society of Thoracic Surgeons score 10.13%, EuroScore II 8.78%) and previous breast cancer treated with radiotherapy.
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