Triple Valve Replacement in a Patient with Severe Combined Aortic and Mitral Stenosis

Abstract

With recent advancements and evidence in favor of transcatheter approach for valve replacements including valve-in-valve procedures, it has become a favorable choice particularly in critically ill patients. Additionally, transcatheter mitral valve-in-valve replacement (TMViVR) is emerging as a less invasive substitute for patients with early dysfunctional bioprosthetic valve. We describe the clinical course of a 52-year-old male whose initial presentation to the hospital for dyspnea on exertion secondary to combined severe aortic and mitral stenosis got complicated requiring three valvular replacement procedures with favorable outcomes.

Axillary Approach for Venoarterial Extracorporeal Membrane Oxygenation Cannulation

“…However, the patient ended up having PVE, and due to high surgical risks surgery could not be performed for valve replacement. There are numerous case reports on multiple percutaneous valve repair therapies under ECMO support [10]. However, in PVE, the valve needs surgical replacement and cannot be repaired percutaneously, hence rendering it a high-risk procedure.…”