Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation: a case report. Issue 11 (26th October 2021)

• Record Type: Journal Article
• Authors: Sharma, Harish; Nadir, M Adnan; Steeds, Richard P; Doshi, Sagar N
• Editors: Karamasis, Grigoris; Rudzínski, Piotr Nikodem; Montalto, Claudio; Mukherjee, Rahul; Thomson, Ross
• Is Part Of: European heart journal. Volume 5:Issue 11(2021)
• Publication Date: 2021-10-26
• Subjects: Transcatheter mitral valve implantation -- Ring dehiscence -- Mitral regurgitation -- Valve-in-ring -- Case report; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytab433
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Background: Annuloplasty failure caused by ring dehiscence can lead to trans-ring and para-ring mitral regurgitation (MR). Transcatheter treatments are available for patients at prohibitive risk of surgery. In patients unsuitable for edge-to-edge repair, valve-in-ring (ViR) transcatheter mitral valve (MV) implantation has been described to treat trans-ring or para-ring jets but not both concurrently. Case summary: A 78-year-old male presented with severe MR due to dehiscence of a 34 mm Edwards Physio II mitral annuloplasty ring. Transoesophageal echocardiography showed two jets of regurgitation; trans-ring and para-ring. Repair was successfully undertaken with a ViR procedure (29 mm S3 Edwards Lifesciences). Discussion: Patients with failure of MV annuloplasty with trans-ring and para-ring regurgitation can be safely and effectively treated by ViR transcatheter MV implantation.