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Acute Mitral Regurgitation during Transapical Aortic Valve Implantation: Usefulness of Intraprocedural Transesophageal Echocardiography
Author(s) -
Huttin Olivier,
Angioi Michael,
Maureira Pablo,
SeltonSuty Christine
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12162
Subject(s) - medicine , mitral regurgitation , cardiology , regurgitation (circulation) , mitral valve , mitral valve regurgitation , extracorporeal circulation
Mini‐Abstract We report a case of acute mitral regurgitation due to a temporary distortion of the mitral valve apparatus during apical transcatheter aortic valve implantation ( TAVI ). A few minutes after penetrating the apex, the patient developed severe hypotension and cardiac arrest. A hemodynamic support with femoral–femoral extracorporeal circulation was immediately installed. Transesophageal echocardiography ( TEE ) revealed that the guidewire interfered with the subvalvular mitral apparatus generating severe acute mitral regurgitation. The patient's condition improved immediately after guidewire removal and there was no residual mitral regurgitation. This case clearly shows the importance and the usefulness of performing a thorough and complete TEE monitoring to prevent and identify complications.