Successful Transcatheter Closure of Iatrogenic Mitral Regurgitation After Aortic Valve Surgery

Thomas J Stocker; Michael Nabauer; Steffen Massberg; Christian Hagl; Jörg Hausleiter

doi:10.1016/j.jaccas.2023.102126

Successful Transcatheter Closure of Iatrogenic Mitral Regurgitation After Aortic Valve Surgery

JACC Case Rep. 2023 Nov 14:28:102126. doi: 10.1016/j.jaccas.2023.102126. eCollection 2023 Dec 20.

Authors

Thomas J Stocker^{1

2}, Michael Nabauer^{1

2}, Steffen Massberg^{1

2}, Christian Hagl³, Jörg Hausleiter^{1

2}

Affiliations

¹ Department of Cardiology, Department of Medicine I, LMU University Hospital, LMU Munich, Munich Germany.
² German Center for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, Germany.
³ Heart Surgery Clinic, LMU University Hospital, LMU Munich, Munich Germany.

Abstract

We present 2 cases of significant mitral regurgitation secondary to pericardial patch avulsion from the anterior mitral valve leaflet after aortic valve replacement with aortic annulus enlargement. Both cases were successfully managed by transcatheter repair with off-label implantation of occluder devices.

Keywords: avulsion of pericardial patch; mitral regurgitation; mitral valve defect after surgery; paravalvular leak occluder; transcatheter mitral valve repair.