Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation: a case report.
Sharma, Harish Nadir, M Adnan Steeds, Richard P Doshi, Sagar N
Sharma, Harish
Nadir, M Adnan
Steeds, Richard P
Doshi, Sagar N
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2021-10-26
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Abstract
Background: Annuloplasty failure caused by ring dehiscence can lead to trans-ring and para-ring mitral regurgitation (MR). Transcatheter treatments are available for patients at prohibitive risk of surgery. In patients unsuitable for edge-to-edge repair, valve-in-ring (ViR) transcatheter mitral valve (MV) implantation has been described to treat trans-ring or para-ring jets but not both concurrently.
Case summary: A 78-year-old male presented with severe MR due to dehiscence of a 34 mm Edwards Physio II mitral annuloplasty ring. Transoesophageal echocardiography showed two jets of regurgitation; trans-ring and para-ring. Repair was successfully undertaken with a ViR procedure (29 mm S3 Edwards Lifesciences).
Discussion: Patients with failure of MV annuloplasty with trans-ring and para-ring regurgitation can be safely and effectively treated by ViR transcatheter MV implantation.
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Sharma H, Nadir MA, Steeds RP, Doshi SN. Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation: a case report. Eur Heart J Case Rep. 2021 Oct 26;5(11):ytab433. doi: 10.1093/ehjcr/ytab433
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