Percutaneous closure of left ventricular-to-right atrial fistula after prosthetic mitral valve rereplacement using the Amplatzer duct occluder

2005 ◽  
Vol 64 (4) ◽  
pp. 522-527 ◽  
Author(s):  
Allison K. Cabalka ◽  
Donald J. Hagler ◽  
Farouk Mookadam ◽  
Krishnaswamy Chandrasekaran ◽  
R. Scott Wright
Keyword(s):  
Mitral Valve ◽  
Left Ventricular ◽  
Percutaneous Closure ◽  
Right Atrial ◽  
Amplatzer Duct Occluder ◽  
Prosthetic Mitral Valve

scholarly journals P1694 Prosthetic mitral valve infective endocarditis complicated by left ventricle to right atrial fistula

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
R M Abayazeed ◽  
H Shehata ◽  
O Elgebaly ◽  
M A Abdel-Aziz ◽  
M A Abdel-Hay
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Tricuspid Valve ◽  
Left Ventricular ◽  
Right Atrial ◽  
History Of ◽  
Prosthetic Mitral Valve

Abstract Left ventricle (LV) to right atrial (RA) shunt is a rare type of ventricular septal defect. Acquired LV-RA shunt is rare and may occur as complication of cardiac surgery, endocarditis, thoracic trauma or myocardial infarction. Infective endocarditis is the second most important cause of this type of shunt. Case presentation A 44 year old female patient presented to our hospital complaining of progressive exertional dyspnea and palpitations for 6 months, and high grade fever for 2 weeks. The patient had history of mitral valve replacement with mechanical prosthesis 16 years ago. The patient had no history of recent invasive procedures or dental interventions. General examination revealed an irregular pulse at rate of 100 beats per minute (bpm), blood pressure of 100/60 mmHg, temperature of 38.5 ͦ C and congested neck veins. Cardiac examination revealed an audible prosthetic mitral click with a harsh pansystolic murmur heard on the apex and left sternal border, and an accentuated P2 over the pulmonary area. Her resting electrocardiogram (ECG) showed atrial fibrillation with ventricular response of 110 bpm. Her laboratory investigations revealed normochromic normocytic anemia with Hemoglobin level of 8 g/dl (13-16), and leucocytosis with white blood cell count of 16.24 103 cell/ ul (4.00-11.00); as well as elevated C-reactive protein (CRP) level of 73 (0-3). Her international normalized ratio (INR) was 3 (1-1.3) on warfarin 5 mg. Transthoracic echocardiography (TTE) revealed a dehiscent prosthetic mitral valve with severe paravalvular regurgitation, severe tricuspid valve regurgitation and pulmonary hypertension with predicted resting pulmonary artery systolic pressure of 60 mmHg. It also showed an abnormal jet passing from the LV into the RA above the tricuspid valve during systole, both right and left ventricular systolic functions were preserved. Subsequent 2D/3D transoesophageal echocardiography (TEE) confirmed the TTE findings with detection of LV-RA fistula with significant left to right shunt; it also visualized multiple vegetations attached to the mitral annulus at the site of the valve dehiscence. The patient was diagnosed with prosthetic mitral valve infective endocarditis, empirical antibiotics were started and the patient was referred for another center for urgent surgery. Redo mitral valve replacement, tricuspid valve repair and closure of the defect were done; the patient developed complete heart block postoperatively and permanent pacemaker was inserted. Conclusion Infective endocarditis remains a major health problem with high mortality and severe complications. It is important to keep high index of suspicion in high risk patients for infective endocarditis as delayed diagnosis increases the risk of serious complications and mortality, and makes surgical intervention, if indicated, more demanding with increased incidence of perioperative complications. Abstract P1694 Figure. TTE&TEE of prosthetic mitral IE

Transcatheter closure of post-operative type 1 Gerbode defect by Amplatzer Duct Occluder 2

2021 ◽  
pp. 1-3
Author(s):  
Ahmet Vedat Kavurt ◽  
İbrahim Ece ◽  
Denizhan Bağrul
Keyword(s):  
Transcatheter Closure ◽  
Left Ventricular ◽  
Amplatzer Vascular Plug ◽  
Right Atrial ◽  
Amplatzer Duct Occluder ◽  
Vascular Plug ◽  
Gerbode Defect ◽  
Amplatzer Vascular Plug Ii

Abstract Acquired and congenital left ventricular to right atrial communication is rare, but nowadays, the frequency of the iatrogenic subgroup is increasing. Successful transcatheter closure of these defects with different devices has been reported. Herein, we presented successful closure of left ventricular to right atrial communication with Amplatzer Duct Occluder 2 after attempting to close with a failed Amplatzer Vascular Plug II device in a 7-year-old girl. This report supports that transcatheter closure of iatrogenic Gerbode defect with Amplatzer Duct Occluder 2 device is safe and effective.

The successful surgical repair of a left ventricular-right atrial communication and aneurysm of the mitral valve caused by infective endocarditis: Report of a case

Surgery Today ◽  
1994 ◽  
Vol 24 (7) ◽  
pp. 655-658 ◽  
Author(s):  
Yoshikatsu Saiki ◽  
Mitsuhiko Kawase ◽  
Takao Ida ◽  
Eiichi Mannouji ◽  
Hitoshi Kasegawa ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Mitral Valve ◽  
Surgical Repair ◽  
Left Ventricular ◽  
Right Atrial

FSI Modeling of Prosthetic Mitral Valve Dynamics and Left Ventricular Flow during Diastole

2013 ◽  
Author(s):  
Su Boyang ◽  
Zhong Liang ◽  
Cui Fangsen ◽  
Kumar Gideon Praveen ◽  
Phang Hui Qun ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Left Ventricular ◽  
Valve Dynamics ◽  
Prosthetic Mitral Valve

scholarly journals Percutaneous Closure of Congenital Aortic--to--Right Atrial Fistula

2021 ◽  
Author(s):  
Abdurrahman Akyüz ◽  
Murat Çap ◽  
Ferhat Işık ◽  
Burhan Aslan
Keyword(s):  
Right Atrium ◽  
Percutaneous Closure ◽  
Right Atrial ◽  
Shortness Of Breath ◽  
Amplatzer Duct Occluder ◽  
Rare Anomaly ◽  
The Right

Transthoracic and transesophageal imaging of the 30-year-old patient who presented with palpitations and shortness of breath revealed flow from the aorta to the right atrium. Aortic-right atrial fistula, which is a rare anomaly, was evaluated. It was considered congenital, as there was no acquired cause. Since the patient was symptomatic, it was closed percutaneously with the Amplatzer Duct Occluder II device.

scholarly journals Partial Prosthetic Mitral Valve Dehiscence: Transapical Percutaneous Closure

2018 ◽  
Author(s):  
Catarina Ruivo ◽  
José Ribeiro ◽  
Alberto Rodrigues ◽  
Luís Vouga ◽  
Vasco Gama
Keyword(s):  
Mitral Valve ◽  
Percutaneous Closure ◽  
Prosthetic Mitral Valve

scholarly journals Iatrogenic left ventricular--right atrial fistula following mitral valve replacement

Thorax ◽  
1973 ◽  
Vol 28 (2) ◽  
pp. 235-241 ◽  
Author(s):  
R. Seabra-Gomes ◽  
D. N. Ross ◽  
L. Gonzalez-Lavin
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular ◽  
Right Atrial

Dynamic Left Ventricular Outflow Tract Obstruction When the Anterior Leaflet Is Retained at Prosthetic Mitral Valve Replacement

1987 ◽  
Vol 43 (5) ◽  
pp. 561-563 ◽  
Author(s):  
Patricia C. Come ◽  
Marilyn F. Riley ◽  
Ronald M. Weintraub ◽  
Jeanne Y. Wei ◽  
John E. Markis ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Anterior Leaflet ◽  
Left Ventricular Outflow ◽  
Prosthetic Mitral Valve

Effect of the prosthetic mitral valve on vortex dynamics and turbulence of the left ventricular flow

2010 ◽  
Vol 22 (4) ◽  
pp. 041901 ◽  
Author(s):  
G. Querzoli ◽  
S. Fortini ◽  
A. Cenedese
Keyword(s):  
Mitral Valve ◽  
Vortex Dynamics ◽  
Left Ventricular ◽  
Prosthetic Mitral Valve
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