[Percutaneous closure of a paravalvular mitral regurgitation with Amplatzer and coil prostheses].
The authors report a case of percutaneous closure of paravalvular mitral regurgitation in a 9 year old child. This patient had complete atrioventricular canal with levo-isomerism completely repaired with replacement of the left atrioventricular valve by a mechanical prosthesis. One year after an episode of infectious endocarditis, the patient was readmitted because of jaundice due to haemolysis attributed to paravalvular mitral regurgitation. Transoesophageal echocardiography demonstrated a crescent-shaped dehiscence of the prosthesis opposite the left atrial appendage associated with a small paraseptal regurgitation. First of all, a 6 mm Amplatzer Septal Occluder and a 5 x 5 coil were introduced by retrograde catheterisation to treat the regurgitation due to the valve dehiscence. This procedure was completed 3 months later by the implantation of a second 8 mm Amplatzer prosthesis for persistent haemolysis. Closure of the paraseptal regurgitation resulted in a reduction of the patient's transfusional requirements.
Boudjemline
Y
Y
Service de cardiologie pédiatrique, hôpital Necker-Enfants malades, 149, rue de Sèvres, 75743, Paris.
Abdel-Massih
T
T
Bonhoeffer
P
P
Piéchaud
J F
JF
Agnoletti
G
G
Iserin
F
F
Bonnet
D
D
Sidi
D
D
D002648:Child; D004452:Echocardiography; D004947:Esophagus / Q000000981:diagnostic imaging; D006350:Heart Valve Prosthesis; D006461:Hemolysis; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome