Mitral valve-in-valve and valve-in-ring: technical aspects and procedural outcomes.


There is a growing practice of transcatheter treatment of failed mitral valves after cardiac surgery, including valve-in-valve and valve-in-ring. Although commonly successful, these procedures can be associated with device malposition (including delayed malposition) and elevated post-procedural gradients (especially when performed inside small surgical valves). Valve-in-ring procedures have elevated risks of left ventricular outflow tract obstruction and post-procedural regurgitation. Careful patient selection and meticulous evaluation of patient anatomy and surgical implant characteristics are essential to achieve optimal clinical results with mitral valve-in-valve and valve-in-ring implantation.

DOI: 10.4244/EIJV12SYA25


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@article{Dvir2016MitralVA, title={Mitral valve-in-valve and valve-in-ring: technical aspects and procedural outcomes.}, author={Danny Dvir and John G . Webb}, journal={EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology}, year={2016}, volume={12 Y}, pages={Y93-6} }