Transseptal transcatheter mitral valve-in-valve for treatment of severe mitral regurgitation in failed bioprosthesis complicated with cardiogenic shock: Case report and review of the literature

2018 ◽  
Vol 19 (7) ◽  
pp. 874-878 ◽  
Author(s):  
Sebastian Rufian-Andujar ◽  
Omer Iftikhar ◽  
Michael Salinger ◽  
Jorge Saucedo ◽  
Ted Feldman ◽  
...  
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Cardiogenic Shock ◽  
Severe Mitral Regurgitation ◽  
Review Of The Literature ◽  
Valve In Valve

scholarly journals Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation—a case report

2021 ◽  
Author(s):  
Harish Sharma ◽  
Adnan Nadir ◽  
Richard P Steeds ◽  
Sagar N Doshi
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Transesophageal Echocardiography ◽  
Severe Mitral Regurgitation ◽  
Annuloplasty Ring ◽  
Mitral Annuloplasty ◽  
Case Summary ◽  
Valve Implantation ◽  
Two Jets

Abstract Background Annuloplasty failure caused by ring dehiscence can lead to trans-ring and para-ring mitral regurgitation. Transcatheter treatments are available for patients at prohibitive risk of surgery. In patients unsuitable for edge-to-edge repair, valve-in-ring transcatheter mitral valve implantation has been described to treat trans-ring or para-ring jets but not both concurrently. Case summary A 78-year-old male presented with severe mitral regurgitation due to dehiscence of a 34 mm Edwards Physio II mitral annuloplasty ring. Transesophageal echocardiography showed two jets of regurgitation; trans-ring and para- ring. Repair was successfully undertaken with a valve-in-ring procedure (29 mm S3 Edwards Lifesciences). Discussion Patients with failure of mitral valve annuloplasty with trans-ring and para-ring regurgitation can be safely and effectively treated by valve-in-ring transcatheter mitral valve implantation.

scholarly journals Antiphospholipid syndrome associated with non-infective mitral valve endocarditis: a case report

2014 ◽  
Vol 4 (1) ◽  
pp. 63-67
Author(s):  
Dragan Stevanović ◽  
Denis Mačkić ◽  
Elvira Džambasović ◽  
Amir Čehajić ◽  
Faruk Čustović ◽  
...  
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Venous Thrombosis ◽  
Skin Rash ◽  
Antiphospholipid Syndrome ◽  
Rare Case ◽  
Skin Lesions ◽  
Severe Mitral Regurgitation

We present a rare case of antiphospholipid syndrome associated with non-infectious thrombotic endocarditis of the mitral valve. The patient was admitted to hospital for examination because of skin lesions manifested through a discoid skin rash. During the hospitalization antiphospholipid syndrome was diagnosed along with ultrasound verification of vegetations on the mitral valve, including both leaflets, with moderate to severe mitral regurgitation. Adequate and opportunely introduced therapy led to regression of all symptoms, including endocarditis of the mitral valve on checkup ultrasound verifications, with a prevention of arterial and/or venous thrombosis in patient's future.

scholarly journals Insights into the Mechanism of Severe Mitral Regurgitation: RT-3D TEE Guided Management with Pathological Correlation

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Senthil Anand ◽  
Naktal Hamoud ◽  
Jess Thompson ◽  
Rajesh Janardhanan
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Pulmonary Edema ◽  
Imaging Modality ◽  
Rapid Development ◽  
Hemodynamic Instability ◽  
Severe Mitral Regurgitation ◽  
Important Complication

Mitral valve perforation is an uncommon but important complication of infective endocarditis. We report a case of a 65-year-old man who was diagnosed to have infective endocarditis of his mitral valve. Through the course of his admission he had a rapid development of hemodynamic instability and pulmonary edema secondary to acutely worsening mitral regurgitation. While the TEE demonstrated an increase in the size of his bacterial vegetation, Real Time 3D TEE was ultimately the imaging modality through which the valve perforation was identified. Through this case report we discuss the advantages that RT-3D TEE has over traditional 2D TEE in the management of valve perforation.

scholarly journals Conceiving MitraClip as a tool: percutaneous edge-to-edge repair in complex mitral valve anatomies

2020 ◽  
Vol 21 (10) ◽  
pp. 1059-1067
Author(s):  
Mara Gavazzoni ◽  
Maurizio Taramasso ◽  
Michel Zuber ◽  
Giulio Russo ◽  
Alberto Pozzoli ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Clinical Studies ◽  
Mitral Insufficiency ◽  
Heart Team ◽  
Severe Mitral Regurgitation ◽  
Review Of The Literature ◽  
Surgical Risk ◽  
High Surgical Risk

Abstract Improvements in procedural technique and intra-procedural imaging have progressively expanded the indications of percutaneous edge-to-edge technique. To date in higher volume centres and by experienced operators MitraClip is used for the treatment of complex anatomies and challenging cases in high risk-inoperable patients. This progressive step is superimposable to what observed in surgery for edge-to-edge surgery (Alfieri’s technique). Moreover, the results of clinical studies on the treatment of patients with high surgical risk and functional mitral insufficiency have confirmed that the main goal to be achieved for improving clinical outcomes of patients with severe mitral regurgitation (MR) is the reduction of MR itself. The MitraClip should therefore be considered as a tool to achieve this goal in addition to medical therapy. Nowadays, evaluation of patient’s candidacy to MitraClip procedure, discussed in local Heart Team, must take into account not only the clinical features of patients but even the experience of the operators and the volume of the centre, which are mostly related to the probability to achieve good procedural results. This ‘relative feasibility’ of challenges cases by experienced operators should always been taken into account in selecting patients for MitraClip. Here, we present a review of the literature available on the treatment of complex and challenging lesions.

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