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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
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Acquired submitral aneurysms may be associated with mitral paravalvular leaks
Palaparti Raghuram1, Kothandam Sivakumar1, Ejaz Ahamed Sheriff2
1Department of Pediatric Cardiology, Madras Medical Mission, Chennai, India.
Asian Cardiovascular & Thoracic Annals
|April 1, 2021
Summary
Transcatheter closure offers an alternative for patients with submitral aneurysms and paravalvular leaks who are high-risk for repeat surgery. This minimally invasive approach addresses both conditions effectively.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Cardiac Anatomy
Background:
- Acquired submitral aneurysms can develop after mitral valve replacement due to surgical trauma.
- These aneurysms may lead to recurrent paravalvular leaks by causing asynchronous annular stretch.
Purpose of the Study:
- To evaluate transcatheter closure as an alternative treatment for paravalvular leaks in patients with acquired submitral aneurysms.
- To present outcomes in high-risk patients unsuitable for repeat sternotomy surgery.
Main Methods:
- Transcatheter closure procedures were performed in three patients with acquired submitral aneurysms and paravalvular leaks.
- Four procedures were detailed, focusing on the technical aspects and feasibility of the transcatheter approach.
Main Results:
- Transcatheter closure was successfully employed in patients with acquired submitral aneurysms and paravalvular leaks.
- This technique provided an alternative solution for high-risk individuals who could not undergo repeat cardiopulmonary bypass surgery.
Conclusions:
- Transcatheter closure is a viable option for managing paravalvular leaks associated with acquired submitral aneurysms in high-risk surgical candidates.
- This minimally invasive strategy can effectively address complex post-mitral valve replacement complications.
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