Mitral valve perforation during transcatheter aortic valve replacement.
Aged, 80 and over
Aortic Valve Stenosis
/ diagnostic imaging
Balloon Valvuloplasty
/ adverse effects
Female
Heart Injuries
/ diagnostic imaging
Humans
Mitral Valve
/ diagnostic imaging
Mitral Valve Insufficiency
/ diagnostic imaging
Severity of Illness Index
Transcatheter Aortic Valve Replacement
/ adverse effects
Treatment Outcome
Aortic valve stenosis
cardiac catheterization
heart injuries
heart valve prosthesis implantation
mitral valve
transcatheter aortic valve replacement
Journal
Asian cardiovascular & thoracic annals
ISSN: 1816-5370
Titre abrégé: Asian Cardiovasc Thorac Ann
Pays: England
ID NLM: 9503417
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
pubmed:
2
6
2020
medline:
28
8
2020
entrez:
2
6
2020
Statut:
ppublish
Résumé
An 86-year-old female with severe aortic valve stenosis underwent transcatheter aortic valve replacement. A balloon-expandable valve was used, guided by a double-stiff guidewire that successfully straightened the aorta. During valve placement, the balloon shifted. After placement of the prosthetic valve, intraoperative transesophageal echocardiography revealed severe mitral regurgitation from the anterior mitral leaflet. Open conversion was performed immediately. A 5-mm hole was identified in the anterior leaflet, and direct closure was chosen for mitral valve repair. While transcatheter aortic valve replacement has gained popularity for patients with severe aortic stenosis and high operative risk, reports of mitral valve perforation are rare.
Identifiants
pubmed: 32479110
doi: 10.1177/0218492320930842
doi:
Types de publication
Case Reports
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM