A hybrid surgical transcatheter strategy for treating severe para-right atrioventricular valvular regurgitation in a patient with left atrial isomerism.
Paravalvular leaks are a recognized complication of valve replacement surgery. We report a 47-year-old man with left atrial isomerism, interrupted left sided inferior caval vein with unilateral left sided superior caval vein, a common atrium, and anomalous pulmonary venous connection to the coronary sinus, who had recurrent severe para-right atrioventricular (AV) regurgitation with gross right heart failure following tricuspid valve (TCV) replacement. He underwent a hybrid surgery-transcatheter treatment strategy in the cardiac catheterization laboratory, which led to significant improvement in hemodynamics and symptoms. This to our knowledge is the first reported case of a minimally invasive approach to para-right sided AV valve regurgitation.
Congenital Cardiac Centre, University Hospital of Southampton, Southampton, UK.
Atul
A
Kalantre
Joseph
J
Vettukattil
Marcus
M
Haw
Gruschen R
GR
Veldtman
D000015:Abnormalities, Multiple / Q000601:surgery*; D001201:Ascites / Q000453:epidemiology; D006328:Cardiac Catheterization / Q000379:methods*; D015897:Comorbidity; D017023:Coronary Angiography; D005355:Fibrosis / Q000453:epidemiology; D006325:Heart Atria / Q000002:abnormalities*; D006330:Heart Defects, Congenital / Q000453:epidemiology*; D006349:Heart Valve Diseases / Q000151:congenital / Q000453:epidemiology / Q000601:surgery*; D006351:Heart Valves / Q000002:abnormalities*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D014682:Vena Cava, Inferior / Q000002:abnormalities