Successful repositioning of apically tethered transcatheter mitral valve replacement in the off-bypass, beating heart.
Dincer AktuerkPaul JanszMarty ShawDavid W M MullerPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
A 73-year-old man with severe, symptomatic secondary mitral regurgitation (MR) underwent successful transcatheter mitral valve replacement using the Tendyne™ mitral valve system. The device was deployed from the left ventricular (LV) apex and secured in position by a tether attached to an epicardial pad. Three days postoperatively, the patient developed hemolytic anemia and a paravalvular leak (PVL) associated with indentation of the LV apex. Adjustment of the tether tension and placement of an epicardial disc under the pad resulted in reduction in the PVL, and resolution of the hemolytic anemia.
Keyphrases
- mitral valve
- left ventricular
- left atrial
- chronic kidney disease
- heart failure
- iron deficiency
- acute myocardial infarction
- case report
- cardiac resynchronization therapy
- atrial fibrillation
- early onset
- transcatheter aortic valve implantation
- coronary artery disease
- computed tomography
- acute coronary syndrome
- drug induced
- percutaneous coronary intervention