Severe regurgitation due to perforation of the mitral-aortic intervalvular fibrosa 3 years after aortic valve replacement

Edwin van Gorselen; Petros Nihoyannopoulos; Patrick Verhorst; Clemens von Birgelen; Bernard Prendergast; Michael Bellamy

doi:10.1093/ejechocard/jer007

Severe regurgitation due to perforation of the mitral-aortic intervalvular fibrosa 3 years after aortic valve replacement

Edwin van Gorselen, Petros Nihoyannopoulos, Patrick Verhorst, Clemens von Birgelen, Bernard Prendergast, Michael Bellamy

Nanobiophysics

Research output: Contribution to journal › Article › Academic › peer-review

5 Citations (Scopus)

26 Downloads (Pure)

Abstract

We report the case of a 91-year-old man with severe symptomatic mitral regurgitation (MR), referred for assessment of percutaneous edge-to-edge repair 3 years after bioprosthetic aortic valve replacement (AVR). Detailed transthoracic, trans-oesophageal (TEE), and three-dimensional (3D) echocardiography showed a perforation in the subaortic curtain leading to severe regurgitation from the left ventricular outflow tract to the left atrium, which was undiagnosed on previous two-dimensional echocardiography. This regurgitation might be iatrogenic in origin after AVR in the absence of previous known endocarditis. This case highlights the utility and added value of 3D TEE in identifying the mechanism of MR.

Original language	English
Article number	E30
Journal	European journal of echocardiography
Volume	12
Issue number	4
DOIs	https://doi.org/10.1093/ejechocard/jer007
Publication status	Published - 2011

Keywords

METIS-280523
IR-104545
Perforation
Iatrogenic
Aortic valve replacement
3D echocardiography

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10.1093/ejechocard/jer007

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@article{30389214f76848a0995b7bdb2884d69a,

title = "Severe regurgitation due to perforation of the mitral-aortic intervalvular fibrosa 3 years after aortic valve replacement",

abstract = "We report the case of a 91-year-old man with severe symptomatic mitral regurgitation (MR), referred for assessment of percutaneous edge-to-edge repair 3 years after bioprosthetic aortic valve replacement (AVR). Detailed transthoracic, trans-oesophageal (TEE), and three-dimensional (3D) echocardiography showed a perforation in the subaortic curtain leading to severe regurgitation from the left ventricular outflow tract to the left atrium, which was undiagnosed on previous two-dimensional echocardiography. This regurgitation might be iatrogenic in origin after AVR in the absence of previous known endocarditis. This case highlights the utility and added value of 3D TEE in identifying the mechanism of MR.",

keywords = "METIS-280523, IR-104545, Perforation, Iatrogenic, Aortic valve replacement, 3D echocardiography",

author = "{van Gorselen}, Edwin and Petros Nihoyannopoulos and Patrick Verhorst and {von Birgelen}, Clemens and Bernard Prendergast and Michael Bellamy",

year = "2011",

doi = "10.1093/ejechocard/jer007",

language = "English",

volume = "12",

journal = "European Heart Journal Cardiovascular Imaging",

issn = "2047-2404",

publisher = "Oxford University Press",

number = "4",

}

Severe regurgitation due to perforation of the mitral-aortic intervalvular fibrosa 3 years after aortic valve replacement. / van Gorselen, Edwin; Nihoyannopoulos, Petros; Verhorst, Patrick; von Birgelen, Clemens; Prendergast, Bernard; Bellamy, Michael.

In: European journal of echocardiography, Vol. 12, No. 4, E30, 2011.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Severe regurgitation due to perforation of the mitral-aortic intervalvular fibrosa 3 years after aortic valve replacement

AU - van Gorselen, Edwin

AU - Nihoyannopoulos, Petros

AU - Verhorst, Patrick

AU - von Birgelen, Clemens

AU - Prendergast, Bernard

AU - Bellamy, Michael

PY - 2011

Y1 - 2011

N2 - We report the case of a 91-year-old man with severe symptomatic mitral regurgitation (MR), referred for assessment of percutaneous edge-to-edge repair 3 years after bioprosthetic aortic valve replacement (AVR). Detailed transthoracic, trans-oesophageal (TEE), and three-dimensional (3D) echocardiography showed a perforation in the subaortic curtain leading to severe regurgitation from the left ventricular outflow tract to the left atrium, which was undiagnosed on previous two-dimensional echocardiography. This regurgitation might be iatrogenic in origin after AVR in the absence of previous known endocarditis. This case highlights the utility and added value of 3D TEE in identifying the mechanism of MR.

AB - We report the case of a 91-year-old man with severe symptomatic mitral regurgitation (MR), referred for assessment of percutaneous edge-to-edge repair 3 years after bioprosthetic aortic valve replacement (AVR). Detailed transthoracic, trans-oesophageal (TEE), and three-dimensional (3D) echocardiography showed a perforation in the subaortic curtain leading to severe regurgitation from the left ventricular outflow tract to the left atrium, which was undiagnosed on previous two-dimensional echocardiography. This regurgitation might be iatrogenic in origin after AVR in the absence of previous known endocarditis. This case highlights the utility and added value of 3D TEE in identifying the mechanism of MR.

KW - METIS-280523

KW - IR-104545

KW - Perforation

KW - Iatrogenic

KW - Aortic valve replacement

KW - 3D echocardiography

U2 - 10.1093/ejechocard/jer007

DO - 10.1093/ejechocard/jer007

M3 - Article

VL - 12

JO - European Heart Journal Cardiovascular Imaging

JF - European Heart Journal Cardiovascular Imaging

SN - 2047-2404

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M1 - E30

ER -