Khanolkar Uday B, Shenoi Arjun S, Govind Satish C, Shetty Devi Prasad
Narayana Institute of Cardiac Sciences, Bangalore, India.
J Cardiol Cases. 2023 Apr 6;28(2):62-63. doi: 10.1016/j.jccase.2023.03.007. eCollection 2023 Aug.
Para mitral annular ring leakage can occur following ring dehiscence after mitral annuloplasty. Percutaneous device closure of para-annular ring leakage can be performed successfully to treat such regurgitations with good transesophageal echocardiography guidance and patient selection. While para valvular device closure has been described in the medical literature, there have been few anecdotal reports published on para ring leak device closures. In this case, we highlight our experience from the successful closure of a para mitral annular ring closure with an AVP III device. The patient had a para annular ring regurgitation post coronary artery bypass grafting with mitral ring annuloplasty presenting with hemolytic anemia and acute renal failure, successfully treated by percutaneous device closure.
This report describes the safety and effectiveness of a transcatheter para ring leak closure with an AVP III device. We applied the principles of device closure of paravalvular leak from our experience and related data from literature for this case and describe various hardware and techniques used for a successful closure of a para mitral ring leak.
二尖瓣环成形术后瓣环裂开可导致二尖瓣环旁漏。在经食管超声心动图的良好引导及患者选择合适的情况下，经皮装置封堵二尖瓣环旁漏可成功用于治疗此类反流。虽然医学文献中已描述了瓣周装置封堵，但关于瓣环漏装置封堵的报道却很少。在此病例中，我们重点介绍使用AVP III装置成功封堵二尖瓣环旁漏的经验。该患者在冠状动脉旁路移植术及二尖瓣环成形术后出现瓣环旁反流，伴有溶血性贫血和急性肾衰竭，经皮装置封堵成功治愈。
本报告描述了使用AVP III装置经导管封堵瓣环漏的安全性和有效性。我们根据自身经验及文献相关数据，将瓣周漏装置封堵的原则应用于此病例，并描述了成功封堵二尖瓣环漏所使用的各种硬件和技术。
