Expanding percutaneous treatment of mitral valve diseases: Transcatheter closure of mitral valve leaflet perforation
Autor: | Fredy Hermogenes Prada, Igor C Morr, Juan Manuel Carretero Bellon, Erika F Merchan |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Percutaneous Adolescent Perforation (oil well) Echocardiography Three-Dimensional Regurgitation (circulation) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Mitral valve medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Mitral regurgitation business.industry Mitral valve diseases Rheumatic Heart Disease Mitral Valve Insufficiency General Medicine medicine.disease Treatment Outcome medicine.anatomical_structure cardiovascular system Cardiology Mitral Valve Cardiology and Cardiovascular Medicine Mitral valve regurgitation business Echocardiography Transesophageal Mitral valve leaflet |
Zdroj: | Catheterization and Cardiovascular Interventions. 97 |
ISSN: | 1522-726X 1522-1946 |
DOI: | 10.1002/ccd.29467 |
Popis: | Mitral valve perforation is a rare cause of mitral regurgitation. We present a case of a 16-year-old patient with mitral valve regurgitation after redo-cardiac surgery for recurrent subaortic stenosis. Transthoracic echocardiography revealed a mitral regurgitation with an eccentric jet causing a significant regurgitation documented by the presence of a convergence flow over the hole. This finding was corroborating by transesophageal echocardiography locating the perforation from the region of A2 scallop. Three-dimensional transesophageal echocardiography confirmed these findings and played a key role guiding the procedure. Typical approach is usually a cardiac surgical procedure based on repair the perforation, but the mitral orifice was successfully closed percutaneously using an Amplatzer Duct Occluder II (ADO II; Abbott Vascular, IL). |
Databáze: | OpenAIRE |
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