*Corresponding author:Matteo Marro, Corso Bramante 88, 10126 Torino, Italy, Tel: +39-011-6335511; Email: firstname.lastname@example.org
Received: February 02, 2018; Published: February 09, 2018
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Degeneration of bioprosthesis may occur in elderly and frail patients with an extremely high risk for redo cardiac surgery. Transcatheter valve-in-valve procedures represent a valuable treatment option in high-risk patients [1,2]. However incidental findings may contraindicate the transcatheter procedure. We describe the original case of a patient who was scheduled for transapical mitral valve-in-valve, but due to a left a trial mass underwent mini-invasive surgery with successful direct mitral valve-in-valve delivery and excision of the mass.
Keywords: TAVI; Transcatheter; Mitral; Valve-in-valve; Bioprosthesis failure; Minimally invasive surgery