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Expanding percutaneous treatment of mitral valve diseases: Transcatheter closure of mitral valve leaflet perforation
Author(s) -
Carretero Bellón Juan M.,
Morr Igor C.,
Merchan Erika F.,
Prada Fredy H.
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29467
Subject(s) - medicine , mitral regurgitation , cardiology , perforation , mitral valve , percutaneous , stenosis , surgery , materials science , punching , metallurgy
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).