Patrick Mayr

Transatrial Antegrade Approach for Double Mitral and Tricuspid “Valve-in-Ring” Implantation

Within the last 5 years, the number of transcatheter aortic valve implantation (TAVI) procedures has increased continuously and, in parallel, the indications for TAVI have expanded (eg, failing surgical valves and rings). Furthermore, alternative TAVI access routes such as transaxillary and transaortic have been applied successfully. We report on, to our knowledge, the first-in-human case of a combined off-pump antegrade transatrial implantation of a transcatheter valve within a mitral and tricuspid annuloplasty ring through an anterolateral minithoracotomy. The patient showed severe mitral valve and tricuspid valve stenosis and regurgitation 15 years after mitral valve repair and 7 years after aortic valve replacement and tricuspid valve repair.

MULTICENTER EVALUATION OF PROSTHESIS OVERSIZING FOR THE SAPIEN 3 TRANSCATHETER HEART VALVE – IMPACT ON NEW PACEMAKER IMPLANTATIONS

Background: Prosthesis sizing in transcatheter aortic valve replacement (TAVR) uses certain prosthesis oversizing (OS) to achieve device success. However, an increase in OS may increase the need for permanent pacemaker implantations (PPI). Although there are recommendations for OS for the SAPIEN 3