Successful repositioning of apically tethered transcatheter mitral valve replacement in the off‐bypass, beating heart

A 73‐year‐old man with severe, symptomatic secondary mitral regurgitation (MR) underwent successful transcatheter mitral valve replacement using the Tendyne™ mitral valve system. The device was deployed from the left ventricular (LV) apex and secured in position by a tether attached to an epicardial...

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Bibliographic Details
Published inCatheterization and cardiovascular interventions Vol. 95; no. 1; pp. E37 - E39
Main Authors Aktuerk, Dincer, Jansz, Paul, Shaw, Marty, Muller, David W.M.
Format Journal Article
LanguageEnglish
Published Hoboken, USA John Wiley & Sons, Inc 01.01.2020
Wiley Subscription Services, Inc
Subjects
Anemia
Heart
heart failure
Hemolytic anemia
Mitral valve
mitral valve disease
Regurgitation
transcatheter valve replacement
Ventricle
heart failure
transcatheter valve replacement
mitral valve disease
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Summary:A 73‐year‐old man with severe, symptomatic secondary mitral regurgitation (MR) underwent successful transcatheter mitral valve replacement using the Tendyne™ mitral valve system. The device was deployed from the left ventricular (LV) apex and secured in position by a tether attached to an epicardial pad. Three days postoperatively, the patient developed hemolytic anemia and a paravalvular leak (PVL) associated with indentation of the LV apex. Adjustment of the tether tension and placement of an epicardial disc under the pad resulted in reduction in the PVL, and resolution of the hemolytic anemia.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.28210