Patients with failed surgical bioprostheses and massive biatrial enlargement
Transseptal mitral valve-in-valve (ViV) implantation using an arteriovenous loop
An arteriovenous loop technique may facilitate transseptal mitral valve-in-valve implantation when massive biatrial enlargement precludes standard delivery.
Transseptal mitral valve-in-valve (ViV) implantation is an established therapy for failed surgical bioprostheses. However, massive biatrial enlargement can preclude delivery, leading to procedural failure.
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Yan-Jie Li
Lan Ma
Ziyong Hao
JACC Case Reports
Shanghai Jiao Tong University
Shanghai Chest Hospital
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Li et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69df2a4be4eeef8a2a6af8ca — DOI: https://doi.org/10.1016/j.jaccas.2026.108146