Combined Mitral and Aortic Valvar Bioprosthesis Transcatheter Transapical Implant: First Description in Brazil

DOI: 10.5935/abc.20170118 Introduction From the earliest days of the heart surgery, the valves, when the reparation was not possible, were replaced by prosthetics using cardiopulmonary bypass. The good results of these procedures are well known. In the recent years, minimally invasive alternatives have been developed, aiming to make possible the treatment of individuals under high risk of complications and death caused by the conventional procedure. In 2002, the first transcatheter valvar implantation was made, which revolutionized the treatment of severe aortic stenosis. The equipment, techniques and skills have progressively evolved since then. More recently, from 2009, transcatheter mitral valvar implants for treatment of the prosthesis dysfunction (valve-in-valve) started to be performed. Currently, the transcatheter valvar implantation is one of the fields of greater development in cardiology.