Mitral valve injury during balloon valvuloplasty for an infant with severe aortic stenosis: spatial evaluation using three-dimensional echocardiography.
We report on a 4-month-old infant with mitral valve injury that was induced by percutaneous balloon valvuloplasty for severe aortic valve stenosis. Three-dimensional echocardiography revealed a laceration at the anterior leaflet of the mitral valve. The mitral valve injury was successfully repaired by surgical operation 1 year after the valvuloplasty. This unexpected complication is associated with anatomical disorders of congenital aortic stenosis, including hypoplastic left ventricle, short chordae tendae, and large papillary muscles.
Yamamoto
Y
Y
Division of Pediatrics, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamikyo-ku, Kyoto, Japan.
Shiraishi
I
I
Yamagishi
M
M
Hamaoka
K
K
D001024:Aortic Valve Stenosis / Q000151:congenital / Q000000981:diagnostic imaging / Q000628:therapy; D006348:Cardiac Surgical Procedures; D002404:Catheterization / Q000009:adverse effects*; D004452:Echocardiography; D005260:Female; D006801:Humans; D007223:Infant; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000293:injuries*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery