Anterior mitral leaflet perforation and infective endocarditis following transcatheter aortic valve replacement in a patient presenting with heart failure

Giuseppe Damiano Sanna, Eleonora Moccia, Mauro Pepi, Guido Parodi

Research output: Contribution to journalArticlepeer-review

Abstract

Transcatheter aortic valve replacement (TAVR) is an alternative treatment option for patients with severe aortic stenosis. Although rarely described, mitral valve perforation because of mechanical stimulation due to low deployment of the prosthesis and the association with infective endocarditis, are potentially life-threatening complications that physicians should be aware of because patients should not be suitable for further surgical or percutaneous management. Herein, we present a case of an 88-year-old man presenting with worsening heart failure 6 months after TAVR. We discuss the diagnostic process and the therapeutic issues. Finally, we underline the invaluable role of echocardiography during TAVR procedures, due to its ability in detecting early complications and avoiding incorrect prosthetic deployment.

Original languageEnglish
Pages (from-to)44-46
Number of pages3
JournalJournal of Cardiovascular Echography
Volume30
Issue number1
DOIs
Publication statusPublished - Jan 1 2020

Keywords

  • Computed tomography
  • echocardiography
  • heart failure
  • infective endocarditis
  • mitral valve perforation
  • mitral-aortic curtain
  • multimodality imaging
  • transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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