Skip to main navigation menu Skip to main content Skip to site footer

Original article

Vol. 149 No. 5152 (2019)

First in Switzerland: concomitant off-pump transapical transcatheter aortic valve implantation and mitral valve reconstruction with the NeoChord system

  • Vasileios Ntinopoulos
  • David Tüller
  • Alain Bernheim
  • Nestoras Papadopoulos
  • Achim Haeussler
  • Sonja Matter-Ensner
  • Franz Eberli
  • Omer Dzemali
DOI
https://doi.org/10.4414/smw.2019.20168
Cite this as:
Swiss Med Wkly. 2019;149:w20168
Published
17.12.2019

Summary

Old and polymorbid patients with multivalvular heart disease comprise a special patient group, with high perioperative morbidity and mortality. We report the case of an 80-year-old, female, polymorbid patient with severe mitral valve regurgitation and moderate to severe aortic valve stenosis. This is the first case in Switzerland of a concomitant transapical transcatheter aortic valve implantation and mitral valve reconstruction with the NeoChord system, on a beating heart and with a minimally invasive approach through a left anterolateral thoracotomy. This case emphasises the possibility of a low-risk minimally invasive procedure on this high-risk patient-group and shows the importance of interdisciplinary discussion and cooperation in heart teams for optimal patient treatment.

References

  1. Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, et al.; ESC Scientific Document Group. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017;38(36):2739–91. doi:.https://doi.org/10.1093/eurheartj/ehx391
  2. Colli A, Zucchetta F, Torregrossa G, Manzan E, Bizzotto E, Besola L, et al. Transapical off-pump mitral valve repair with Neochord Implantation (TOP-MINI): step-by-step guide. Ann Cardiothorac Surg. 2015;4(3):295–7. doi:.https://doi.org/10.3978/j.issn.2225-319X.2015.05.01
  3. Gillinov AM, Blackstone EH, Cosgrove DM, 3rd, White J, Kerr P, Marullo A, et al. Mitral valve repair with aortic valve replacement is superior to double valve replacement. J Thorac Cardiovasc Surg. 2003;125(6):1372–85. doi:.https://doi.org/10.1016/S0022-5223(02)73225-X
  4. Zheng Z, Rao C, Du J. Is the era of the heart team coming? J Thorac Cardiovasc Surg. 2015;150(6):1664–5. doi:.https://doi.org/10.1016/j.jtcvs.2015.07.091
  5. Zierer AF, Kammler J, Blessberger H, Ay M, Steinwender C. First in Man: Off-Pump Transapical Transcatheter Aortic Valve Implantation and Mitral Valve Repair. Ann Thorac Surg. 2019;107(4):e249–50. doi:.https://doi.org/10.1016/j.athoracsur.2018.07.062
  6. Gerosa G, D’Onofrio A, Manzan E, Besola L, Bizzotto E, Zucchetta F, et al. One-stage off-pump transapical mitral valve repair and aortic valve replacement. Circulation. 2015;131(19):e430–4. doi:.https://doi.org/10.1161/CIRCULATIONAHA.114.014023
  7. Stelzmueller M-E, Zilberszac R, Heinrich N, Mora B, Laufer G, Wisser W. Concomitant Transapical Transcatheter Aortic Valve Implantation and Transapical Mitral Valve Repair with NeoChord Implantation. Innovations (Phila). 2019:1556984519871905. Epub ahead of print. doi:.https://doi.org/10.1177/1556984519871905
  8. Madder RD, Safian RD, Gallagher M, Senter SR, Hanzel GS. The first report of transcatheter aortic valve implantation and percutaneous mitral valve repair in the same patient. JACC Cardiovasc Interv. 2011;4(7):824. doi:.https://doi.org/10.1016/j.jcin.2011.05.009
  9. Chan PH, Alegria-Barrero E, Patterson T, Davies S, Di Mario C, Franzen OW, et al. Successful dual-valve transcatheter therapy for severe aortic stenosis and mitral regurgitation. Int J Cardiol. 2012;157(2):e35–7. doi:.https://doi.org/10.1016/j.ijcard.2011.09.067

Most read articles by the same author(s)