VIV-TMVR in A Degenerative 29 mm Surgical Valve – December 2023

CASE & Plan:
A 69-year-old female presents with progressive dyspnea, decreased exercise tolerance,

and lower extremity swelling. Past medical history is significant for MR s/p MVR with a

29 mm Perimount 6900 valve in 2008, ICM with EF40%, CAD s/p multiple PCIs, TIA,

PAD, and DM. She was found to have transmitral gradient of 7 mmHg at rest. Persistent

high gradient despite trial of anticoagulant for presumed mitral-HALT for 10 weeks. TEE

shows mitral prosthesis degeneration with leaflet immobility. Heart team was consulted

and the patient was high risk for redo MVR. Therefore, she is recommended for

transfemoral VIV-TMVR using 29 mm + 2cc Sapien-3 Ultra Resilia valve.


Leave a Reply

Your email address will not be published.*