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Case Reports
. 2025 Jul 9;30(18):103801.
doi: 10.1016/j.jaccas.2025.103801.

Heart and Brain Team Salvaging the Mechanical Mitral Valve: Step-by-Step Percutaneous Aspiration of Mechanical Mitral Valve Endocarditis

Dhiran Verghese  1 , Viviana Navas  2 , Dee Dee Wang  2 , Travis Howard  2 , Luis H Paz  2 , Brian Solomon  2 , David Axline  2 , Gaston Cudemus  2 , Mazen Albaghdadi  2 , Robert J Cubeddu  2
Affiliations
Case Reports

Heart and Brain Team Salvaging the Mechanical Mitral Valve: Step-by-Step Percutaneous Aspiration of Mechanical Mitral Valve Endocarditis

Dhiran Verghese et al. JACC Case Rep. .

Abstract

In patients with refractory mitral valve endocarditis who are not surgical candidates, percutaneous debulking is a potential treatment option. We describe the first report of percutaneous mechanical aspiration of prosthetic mechanical mitral valve endocarditis using the AngioVac system and cerebral protection devices.

Keywords: infective endocarditis; mechanical aspiration; mitral valve.

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Conflict of interest statement

Funding Support and Author Disclosures The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Acute Right-Side Parietooccipital Intracerebral Hemorrhage
Figure 2
Figure 2
Acute Left-Side Frontoparietal Intracerebral Hemorrhage
Figure 3
Figure 3
Transesophageal Echocardiogram Demonstrating Prosthetic Mechanical Mitral Valve Vegetation
Figure 4
Figure 4
Intraprocedural Interventional Transesophageal Echocardiogram Guiding Transseptal Puncture
Figure 5
Figure 5
Intraprocedural Transesophageal Echocardiogram Images of the Mechanical Mitral Valve Endocarditis Before Aspiration
Figure 6
Figure 6
Debris Retrieved From the Aspiration Canister
See this image and copyright information in PMC

References

    1. Zhang R.S., Alam U., Maqsood M.H., et al. Outcomes with percutaneous debulking of tricuspid valve endocarditis. Circ Cardiovasc Interv. 2023;16(7) - PubMed
    1. Akhtar Y.N., Barry N., Foster M.T., et al. Case series of percutaneous mechanical aspiration of mitral valve endocarditis. JACC Case Rep. 2022;4(9):523–528. - PMC - PubMed

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