Bioprosthetic Mitral Valve Replacement



Bioprosthetic Mitral Valve Replacement





A 65-year-old man had a bioprosthetic mitral valve (MV) replacement 6 years ago. He now presents with worsening congestive heart failure (CHF). A transesophageal echocardiogram is done to evaluate the cause of the CHF and the bioprosthetic MV function and morphology (Videos 49-1 and 49-2).



QUESTION 1. The cause of the CHF is:


A. Severe mitral regurgitation (MR)

B. Impaired left ventricular function

C. Degeneration of the bioprosthetic MV

D. Paraprosthetic MR

View Answer

ANSWER 1: D. In addition, the patient has hemolysis, which is common in patients with paraprosthetic MR.



QUESTION 2. See Videos 49-1 to 49-3. Is this leak amenable to catheter closure?


A. Yes

B. No

View Answer

ANSWER 2: A. This defect should be amenable to percutaneous closure because the defect does not exceed 33% of the circumference of the prosthetic valve.



QUESTION 3. See Videos 49-4 and 49-5. The catheter is across:

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  4. Moderate-to-Severe Mitral Regurgitation

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Jul 15, 2016 | Posted by in CARDIOLOGY | Comments Off on Bioprosthetic Mitral Valve Replacement

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