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Transcatheter para mitral annular ring leak device closure - A case report
Uday B Khanolkar1, Arjun S Shenoi1, Satish C Govind1
1Narayana Institute of Cardiac Sciences, Bangalore, India.
Journal of Cardiology Cases
|July 31, 2023
Summary
Para-mitral annular ring leakage, a complication of mitral annuloplasty, can be successfully treated with percutaneous device closure. This minimally invasive technique offers a viable option for patients presenting with severe symptoms.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Para-mitral annular ring leakage can occur after mitral annuloplasty, leading to complications like regurgitation.
- Percutaneous device closure is a potential treatment for para-annular ring leakage, though reports are limited.
Observation:
- A patient presented with para-annular ring regurgitation post-coronary artery bypass grafting and mitral ring annuloplasty.
- The patient experienced severe symptoms including hemolytic anemia and acute renal failure.
Findings:
- Successful percutaneous device closure of para-mitral annular ring leakage was achieved using an AVP III device.
- The procedure utilized transesophageal echocardiography guidance and principles of paravalvular leak closure.
Implications:
- Percutaneous device closure is a safe and effective treatment for para-mitral annular ring leakage.
- This approach can resolve severe complications such as hemolytic anemia and acute renal failure.
- Further research into device closure techniques for para-ring leaks is warranted.
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