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Yamana F, Domae K, Shirakawa Y, Masai T. Cardiac calcified amorphous tumor with mitral valve perforation: A case report. J Cardiol Cases 2022; 25:297-299. [DOI: 10.1016/j.jccase.2021.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 10/25/2021] [Accepted: 11/17/2021] [Indexed: 11/16/2022] Open
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Carretero Bellón JM, Morr IC, Merchan EF, Prada FH. Expanding percutaneous treatment of mitral valve diseases: Transcatheter closure of mitral valve leaflet perforation. Catheter Cardiovasc Interv 2021; 97:E692-E696. [PMID: 33502083 DOI: 10.1002/ccd.29467] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 12/26/2020] [Accepted: 01/08/2021] [Indexed: 11/11/2022]
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).
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Affiliation(s)
- Juan M Carretero Bellón
- Department of Pediatric Cardiology, Sant Joan de Dèu Hospital, Barcelona, Spain.,Pediatric Cardiology Unit, Hospital Joan XXIII Tarragona, Universitat Rovira I Virgili, Tarragona, Spain
| | - Igor C Morr
- Pediatric Cardiology Unit, Hospital Joan XXIII Tarragona, Universitat Rovira I Virgili, Tarragona, Spain
| | - Erika F Merchan
- Department of Pediatric Cardiology, Sant Joan de Dèu Hospital, Barcelona, Spain
| | - Fredy H Prada
- Department of Pediatric Cardiology, Sant Joan de Dèu Hospital, Barcelona, Spain
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Wang TKM, Elgharably H, Cremer P. "Holes-in-one": A case of concurrent windsock mitral valve, root abscess, and Gerbode defect. Echocardiography 2020; 37:935-938. [PMID: 32426868 DOI: 10.1111/echo.14703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 04/27/2020] [Accepted: 04/29/2020] [Indexed: 11/29/2022] Open
Abstract
Infective endocarditis is a heterogeneous disease with a wide array of pathological lesions. We present a 55-year-old man with severe mitral and aortic regurgitation on transthoracic echocardiography. Transesophageal echocardiogram characterized the mechanisms detecting a windsock mitral valve perforation, aortic root abscess, and Gerbode ventricular septal defect, with the deep transgastric view showing all three pathologies concurrently. The etiologies of mitral valve perforation and Gerbode defects are discussed. Transesophageal echocardiography remains a critical imaging modality to diagnose and evaluate the extent of infective endocarditis with superior sensitivity to transthoracic echocardiography.
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Affiliation(s)
- Tom Kai Ming Wang
- Section of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Haytham Elgharably
- Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Paul Cremer
- Section of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA
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Kobara S, Haruki N, Nii R, Watanabe Y, Tsujimoto D, Saito Y, Shirota K. Volcano-like ruptured posterior mitral valve aneurysm due to infective endocarditis caused by Streptococcus agalactiae. J Echocardiogr 2020; 19:183-184. [PMID: 32367402 DOI: 10.1007/s12574-020-00471-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Revised: 04/12/2020] [Accepted: 04/14/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Satoshi Kobara
- Department of Cardiology, Matsue Red Cross Hospital, 200 Horo-machi, Matsue, Shimane, 690-8506, Japan
| | - Nobuhiko Haruki
- Department of Cardiology, Matsue Red Cross Hospital, 200 Horo-machi, Matsue, Shimane, 690-8506, Japan.
| | - Rikuto Nii
- Department of Cardiovascular Surgery, Matsue Red Cross Hospital, Matsue, Shimane, Japan
| | - Yuko Watanabe
- Department of Anesthesiology, Matsue Red Cross Hospital, Matsue, Shimane, Japan
| | - Daiki Tsujimoto
- Department of Cardiology, Matsue Red Cross Hospital, 200 Horo-machi, Matsue, Shimane, 690-8506, Japan
| | - Yuhei Saito
- Department of Cardiovascular Surgery, Matsue Red Cross Hospital, Matsue, Shimane, Japan
| | - Kinya Shirota
- Department of Cardiology, Matsue Red Cross Hospital, 200 Horo-machi, Matsue, Shimane, 690-8506, Japan
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Wang TKM, Miyasaka R, Reed G, Krishnaswamy A, Kapadia SR, Harb SC. Be Prepared for the Unexpected: Importance of Careful Intraprocedural Transesophageal Echocardiography Assessment During MitraClip. JACC Case Rep 2020; 2:549-554. [PMID: 34317292 PMCID: PMC8298544 DOI: 10.1016/j.jaccas.2019.12.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 12/12/2019] [Accepted: 12/28/2019] [Indexed: 06/13/2023]
Abstract
Transesophageal echocardiography plays a central role in the evaluation and guidance of mitral valve interventions. Our case highlights the importance of thorough intraprocedural valve evaluation using 3-dimensional and multiplanar reconstruction transesophageal echocardiography, discovering an unexpected mechanism for mitral regurgitation, to guide an alternative intervention strategy by an experienced interventional team. (Level of Difficulty: Intermediate.).
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Affiliation(s)
- Tom Kai Ming Wang
- Department of Cardiovascular Medicine, Cardiovascular Imaging Section, Cleveland Clinic, Cleveland, Ohio
| | - Rhonda Miyasaka
- Department of Cardiovascular Medicine, Cardiovascular Imaging Section, Cleveland Clinic, Cleveland, Ohio
| | - Grant Reed
- Department of Cardiovascular Medicine, Cardiovascular Interventional Section, Cleveland Clinic, Cleveland, Ohio
| | - Amar Krishnaswamy
- Department of Cardiovascular Medicine, Cardiovascular Interventional Section, Cleveland Clinic, Cleveland, Ohio
| | - Samir R. Kapadia
- Department of Cardiovascular Medicine, Cardiovascular Interventional Section, Cleveland Clinic, Cleveland, Ohio
| | - Serge C. Harb
- Department of Cardiovascular Medicine, Cardiovascular Imaging Section, Cleveland Clinic, Cleveland, Ohio
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Eng MH, Frisoli TM, Greenbaum AB, Villablanca P, Wang DD, Lee J, O'Neill W. Percutaneous Approaches to the Treatment of Mitral Leaflet Perforation and to Residual Regurgitation After Transcatheter Edge-to-Edge Mitral Valve Repair. Interv Cardiol Clin 2019; 8:383-391. [PMID: 31445722 DOI: 10.1016/j.iccl.2019.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Mitral valve disease becomes more prevalent as the population ages. As the number of percutaneous mitral valve interventions expands, obscure clinical scenarios may emerge and challenge conventional treatment algorithms. Strategies for dealing with complex repairs build on prior experience in mitral perivalvular leak repair. Cases using nitinol- and expanded polytetrafluoroethylene-based devices are used to treat mitral regurgitation in cases of focal mitral perforations and leaks between previously placed mitral valve edge-to-edge devices. This review discusses risks and benefits of performing such complex mitral repairs and informs clinicians of the strengths of weaknesses of different occluder devices in the mitral position.
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Affiliation(s)
- Marvin H Eng
- Center for Structural Heart Disease, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
| | - Tiberio M Frisoli
- Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA
| | - Adam B Greenbaum
- Emory University Hospital, 550 Peachtree Street Northeast, Fl 6, Suite 600, Atlanta, GA 30308, USA
| | - Pedro Villablanca
- Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA
| | - Dee Dee Wang
- Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA
| | - James Lee
- Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA
| | - William O'Neill
- Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA
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