| Autor: |
Moldovan H; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania., Popescu BŞ; Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania., Nechifor E; Sanador Clinical Hospital, 011038 Bucharest, Romania., Badea A; Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania., Ciomaga I; Sanador Clinical Hospital, 011038 Bucharest, Romania., Nica C; Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania., Zaharia O; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; 'Prof. Dr. Theodor Burghele' Clinical Hospital, 061344 Bucharest, Romania., Gheorghiță D; Faculty of Materials Science and Engineering, Politehnica University of Bucharest, 060042 Bucharest, Romania., Broască M; Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania., Diaconu C; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania., Parasca C; 'Prof. Dr. C.C. Iliescu' Institute for Cardiovascular Diseases, 022328 Bucharest, Romania., Chioncel O; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; 'Prof. Dr. C.C. Iliescu' Institute for Cardiovascular Diseases, 022328 Bucharest, Romania., Iliescu VA; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; 'Prof. Dr. C.C. Iliescu' Institute for Cardiovascular Diseases, 022328 Bucharest, Romania. |
| Abstrakt: |
Pre-procedure mitral regurgitation (MR) is a frequent coexistent finding in patients undergoing transcatheter aortic valve replacement (TAVR), and most of them (up to 55%) experience a significant improvement in MR after the procedure. Although seldom described, mitral valve perforation after TAVR is a potentially serious complication that physicians should be aware of, as moderate or severe MR in TAVR recipients is associated with a high early mortality rate. We herein describe the case of a 65-year-old man presenting with worsening heart failure symptoms 5 months after TAVR due to an intraprocedural anterior mitral leaflet perforation and discuss the diagnostic process and therapeutic course of the case. Furthermore, we draw attention to the essential role of echocardiography in the management of TAVR procedures, taking into account its ability in detecting early complications, and emphasize the value of CT as a main determinant to predict long-term MR improvement after TAVR and to assess the potential candidates for double valve repair with percutaneous techniques. |
