Intractable Heart Failure From a Severe Mitral Paravalvular Leak in Surgically Created Bipartite Left Atrium

Yerramareddy Vijayachandra; Chandrasekaran Krishnaswamy; Shalini Mani

doi:10.1016/j.jaccas.2022.08.040

Intractable Heart Failure From a Severe Mitral Paravalvular Leak in Surgically Created Bipartite Left Atrium

JACC Case Rep. 2022 Nov 16;4(22):1542-1547. doi: 10.1016/j.jaccas.2022.08.040.

Authors

Yerramareddy Vijayachandra¹, Chandrasekaran Krishnaswamy¹, Shalini Mani¹

Affiliation

¹ Department of Cardiology, Apollo Hospitals, Chennai, India.

Abstract

We describe a 38-year-old Middle Eastern woman with a long history of multiple cardiac surgical procedures for mitral valve disease who presented with intractable heart failure from severe mitral paravalvular regurgitation requiring multiple medical admissions since 2019. She was deemed a very high surgical risk and was treated successfully with a percutaneous technique. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; LA, left atrium; MV, mitral valve; MVR, mitral valve replacement; PVL, paravalvular leak; TEE, transesophageal echocardiography; paravalvular leak; surgical bipartite left atrium; transapical device closure.

Publication types

Case Reports