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Do you perform percutaneous HVD therapy (valve-in-valve replacement)? 

Do you perform percutaneous HVD therapy (valve-in-valve replacement)? Would you be able to consider doing so for an 80 y.o. man (my father) with a failing bovine valve who is not considered a good candidate for regular valve replacement surgery? He may not be eligible for surgery, i.e., he may not be able to receive anything more than palliative therapy if there is no other option, in part because his hemoglobin is low and (for religious reasons) he does not want to accept any blood transfusions.

submitted by Martin from New York, New York on 5/17/2013


by Texas Heart Institute cardiologist, Neil E. Strickman, MD  

Neil E. Strickman, MDThis is being done in high risk patients.  He would need to be evaluated to see if the anatomy is suitable for aortic valve only (which is likely what he has since it is bovine). He would also need tests such as CTangio/2DE/Transesophageal echo and cardiac catheterization. He would need evaluation of  his blood situation and may need intravenous iron.  It all depends on the clinical situation.   

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Updated May 2013
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