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Published on: May 26, 2023
Mitral Valve Entrapment of Preshaped Guidewire During TAVI
Barbara Parrella1, Cristina Barbero1, Federico Conrotto2
1Division of Cardiac Surgery, Città Della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
Case Summary:
We report a case of acute mitral regurgitation caused by a stiff guidewire entrapment in the subvalvular apparatus during transcatheter aortic valve implantation. Early detection by the multidisciplinary Heart Team enabled prompt conversion to successful minimally invasive surgery for mitral repair.
Take-Home Message:
Mitral injury due to guidewire entrapment is a rare, life-threatening transcatheter aortic valve implantation complication. Key to success is the early recognition of pathognomonic echocardiographic features and immediate surgical bailout. Minimally invasive surgery is a safe, effective rescue strategy. Maintaining a hybrid environment with a scrubbed cardiac surgeon is essential to optimize outcomes in such high-risk, unexpected scenarios.
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