Real Time Three-Dimensional Transesophageal Echocardiography Guided Coronary Sinus Cannulation during CARILLON Mitral Annuloplasty Device Therapy for a Patient with Chronic Severe Mitral Regurgitation

2014 ◽  
Vol 32 (1) ◽  
pp. 181-183 ◽  
Author(s):  
Hani M. Mahmoud ◽  
Mohammed A. Al-Ghamdi ◽  
Abdullah E. Ghabashi
Author(s):  
Harish Sharma ◽  
Adnan Nadir ◽  
Richard P Steeds ◽  
Sagar N Doshi

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.


2013 ◽  
Vol 164 (2) ◽  
pp. e13-e14 ◽  
Author(s):  
Kevin Ka-Ho Kam ◽  
Jen-Li Looi ◽  
Yu-Yeung Yip ◽  
Alex Pui-Wai Lee ◽  
Jeffrey Ka-Tat Wong ◽  
...  

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