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Rupture of mitral valve annulus after mitral balloon valvotomy: a case report
L Ressia1, G Depieri, A M Grande
1Istituto di Cardiochirurgia, IRCCS Policlinico S. Matteo, Pavia, Italy.
Insights
A 51-year-old woman experienced severe mitral regurgitation after percutaneous mitral valvotomy for restenosis. Surgical mitral valve replacement was successful, resolving the complication and leading to a good clinical outcome one year later.
Area of Science:
- Cardiology
- Cardiac Surgery
- Interventional Cardiology
Background:
- Restenosis following surgical closed commissurotomy can necessitate further intervention.
- Percutaneous mitral valvotomy is a treatment option for mitral stenosis.
- Complications such as severe mitral regurgitation can arise after valvotomy procedures.
Abstract:
We report the case of a 51-year-old woman who underwent percutaneous mitral valvotomy using single balloon technique for restenosis after a previous surgical closed commissurotomy. After the procedure, she presented with severe mitral regurgitation and was referred to our center for mitral valve replacement. At surgery, the underlying cause of the mitral regurgitation was shown to be a tear at the commissural site which extended into the annulus. The mitral valve was successfully replaced and the post-operative course was uneventful. One year later the patient is in good clinical condition.