Case Studies
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Journal of Structural Heart Disease, October 2018, Volume 4, Issue 5:234-239
DOI: 10.12945/j.jshd.2018.002.18
Transcatheter Repair of Anterior Mitral Leaflet Perforation in a Patient with Mechanical Aortic Valve Using Antegrade and Retrograde Approaches: Case Report
Reda Abuelatta, MD1, Hesham Naeim, MD1,2, Ahmad AlAhmadi, MD1, Saleh Al Ghamdi, MD1, Osama Amoudi, MD1, Ibraheem AlHarbi, MD1, Abdelfatah Elasfar, MD1,3*
1 Adult Cardiology Department, Madinah Cardiac Center, Madinah, Saudi Arabia
2 Cardiology Department, Alazhar University, Cairo, Egypt
3 Cardiology Department, Tanta University, Egypt
Abstract
Mitral leaflet perforations after surgical aortic valve replacement may be iatrogenic or due to endocarditis. We present a 20-year-old female who underwent surgical mechanical aortic valve replacement 8 months prior to this presentation for bicuspid severe aortic valve stenosis. She presented with acute decompensated heart failure with dyspnea and New York Heart Association (NYHA) functional class of III-IV. Transthoracic (TTE) and transesophageal echocardiography (TEE) demonstrated severe mitral regurgitation (MR) through an anterior mitral leaflet perforation. The patient refused surgical repair and percutaneous closure of the perforation was decided and performed using both antegrade and retrograde approaches. In this report, we emphasize the details and challenges of the procedure.
Cite this article as: Abuelatta R, Naeim H, AlAhmadi A, Al Ghamdi S, Amoudi O, AlHarbi I, Elasfar A. Transcatheter Repair of Anterior Mitral Leaflet Perforation in a Patient with Mechanical Aortic Valve Using Antegrade and Retrograde Approaches: Case Report. Structural Heart Disease 2018;4(5):234-239. DOI: 10.12945/j.jshd.2018.002.18
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Case Studies
Journal of Structural Heart Disease, October 2018, Volume 4, Issue 5:234-239
DOI: 10.12945/j.jshd.2018.002.18
Transcatheter Repair of Anterior Mitral Leaflet Perforation in a Patient with Mechanical Aortic Valve Using Antegrade and Retrograde Approaches: Case Report
Reda Abuelatta, MD1, Hesham Naeim, MD1,2, Ahmad AlAhmadi, MD1, Saleh Al Ghamdi, MD1, Osama Amoudi, MD1, Ibraheem AlHarbi, MD1, Abdelfatah Elasfar, MD1,3*
1 Adult Cardiology Department, Madinah Cardiac Center, Madinah, Saudi Arabia
2 Cardiology Department, Alazhar University, Cairo, Egypt
3 Cardiology Department, Tanta University, Egypt
Abstract
Mitral leaflet perforations after surgical aortic valve replacement may be iatrogenic or due to endocarditis. We present a 20-year-old female who underwent surgical mechanical aortic valve replacement 8 months prior to this presentation for bicuspid severe aortic valve stenosis. She presented with acute decompensated heart failure with dyspnea and New York Heart Association (NYHA) functional class of III-IV. Transthoracic (TTE) and transesophageal echocardiography (TEE) demonstrated severe mitral regurgitation (MR) through an anterior mitral leaflet perforation. The patient refused surgical repair and percutaneous closure of the perforation was decided and performed using both antegrade and retrograde approaches. In this report, we emphasize the details and challenges of the procedure.
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Cite this article as: Abuelatta R, Naeim H, AlAhmadi A, Al Ghamdi S, Amoudi O, AlHarbi I, Elasfar A. Transcatheter Repair of Anterior Mitral Leaflet Perforation in a Patient with Mechanical Aortic Valve Using Antegrade and Retrograde Approaches: Case Report. Structural Heart Disease 2018;4(5):234-239. DOI: 10.12945/j.jshd.2018.002.18
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