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Case Reports
. 2021 Apr 1;97(5):E692-E696.
doi: 10.1002/ccd.29467. Epub 2021 Jan 27.

Expanding percutaneous treatment of mitral valve diseases: Transcatheter closure of mitral valve leaflet perforation

Juan M Carretero Bellón  1   2 , Igor C Morr  2 , Erika F Merchan  1 , Fredy H Prada  1
Affiliations
Case Reports

Expanding percutaneous treatment of mitral valve diseases: Transcatheter closure of mitral valve leaflet perforation

Juan M Carretero Bellón et al. Catheter Cardiovasc Interv. .

Abstract

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).

Keywords: TTE/TEE; congenital heart disease; imaging; mitral valve disease; pediatric intervention; pediatrics; percutaneous intervention; percutaneous valve therapy; structural heart disease intervention.

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References

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