Mechanical valve dysfunction after percutaneous perimitral leak closure: salvage by percutaneous occluder retrieval.
Percutaneous closure of perivalvular regurgitation may be complicated by prosthetic valve impingement and dysfunction. We describe a patient with two perimitral defects who developed severe mitral stenosis due to mitral leaflet impingement after percutaneous implantation of three amplatzer muscular ventricular septal defect occluder devices. The largest amplatzer occluder device was successfully snared with restoration of normal prosthetic valve motion.
VA North Texas Healthcare System and University of Texas Southwestern Medical Center, Dallas, Texas, USA. esbrilakis@yahoo.com
Emmanouil S
ES
Brilakis
Laura J
LJ
Collins
Owen
O
Obel
Subhash
S
Banerjee
D020878:Device Removal; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000209:etiology; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D019233:Retreatment; D055989:Septal Occluder Device / Q000009:adverse effects*