Journal of Cardiovascular Echography

CASE REPORT
Year
: 2020  |  Volume : 30  |  Issue : 1  |  Page : 44--46

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


Giuseppe Damiano Sanna1, Eleonora Moccia1, Mauro Pepi2, Guido Parodi1 
1 Clinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy
2 Centro Cardiologico Monzino, IRCCS, Milan, Italy

Correspondence Address:
Giuseppe Damiano Sanna
Clinical and Interventional Cardiology, Sassari University Hospital, Via Enrico de Nicola, 07100 Sassari
Italy

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.


How to cite this article:
Sanna GD, Moccia E, Pepi M, Parodi G. Anterior mitral leaflet perforation and infective endocarditis following transcatheter aortic valve replacement in a patient presenting with heart failure.J Cardiovasc Echography 2020;30:44-46


How to cite this URL:
Sanna GD, Moccia E, Pepi M, Parodi G. Anterior mitral leaflet perforation and infective endocarditis following transcatheter aortic valve replacement in a patient presenting with heart failure. J Cardiovasc Echography [serial online] 2020 [cited 2020 Sep 22 ];30:44-46
Available from: http://www.jcecho.org/article.asp?issn=2211-4122;year=2020;volume=30;issue=1;spage=44;epage=46;aulast=Sanna;type=0