Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation: a case report
| Autor: | Richard P. Steeds, Sagar N. Doshi, M. Adnan Nadir, Harish Sharma |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Mitral regurgitation
medicine.medical_specialty Ring dehiscence business.industry Dehiscence Ring (chemistry) Surgery Ehjcr/12 Ehjcr/45 Ehjcr/44 Mitral annuloplasty ring medicine.anatomical_structure Mitral valve Case report medicine AcademicSubjects/MED00200 Cardiology and Cardiovascular Medicine business Transcatheter mitral valve implantation Valve-in-ring |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| Popis: | Background Annuloplasty failure caused by ring dehiscence can lead to trans-ring and para-ring mitral regurgitation (MR). Transcatheter treatments are available for patients at prohibitive risk of surgery. In patients unsuitable for edge-to-edge repair, valve-in-ring (ViR) transcatheter mitral valve (MV) 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 MR due to dehiscence of a 34 mm Edwards Physio II mitral annuloplasty ring. Transoesophageal echocardiography showed two jets of regurgitation; trans-ring and para-ring. Repair was successfully undertaken with a ViR procedure (29 mm S3 Edwards Lifesciences). Discussion Patients with failure of MV annuloplasty with trans-ring and para-ring regurgitation can be safely and effectively treated by ViR transcatheter MV implantation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|