Insertion of an Edwards Sapien 3 prosthesis as a mitral valve in valve implantation via a transapical approach

Transapical mitral valve-in-valve ring implantation with the Edwards Sapien 3 prosthesis

We present the case of a high-risk patient with symptomatic severe mitral regurgitation following a surgical annuloplasty ring. An inverted aortic Edwards Sapien 3 bioprosthesis (Edwards Lifesciences, Irvine, CA) was successfully implanted through a transapical approach inside the previously implanted annuloplasty ring.