Transcatheter mitral valve-in-valve-in-valve replacement with transseptal puncture in the presence of an atrial septal occluder device

Nada Qaisar Qureshi; Aidan Sharkey; Omar Chaudhary; Vincent Baribeau; Kiran Belani; Roger Laham; Feroze Mahmood

doi:10.1111/echo.15087

Transcatheter mitral valve-in-valve-in-valve replacement with transseptal puncture in the presence of an atrial septal occluder device

Echocardiography. 2021 Aug;38(8):1425-1429. doi: 10.1111/echo.15087. Epub 2021 Jul 6.

Authors

Nada Qaisar Qureshi¹, Aidan Sharkey¹, Omar Chaudhary¹, Vincent Baribeau¹, Kiran Belani¹, Roger Laham², Feroze Mahmood¹

Affiliations

¹ Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
² Division of Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

PMID: 34231251
DOI: 10.1111/echo.15087

Abstract

Quite often the iatrogenic atrial septal defect created after percutaneous transcatheter mitral valve replacement procedures is closed with an atrial septal occluder device thus precluding further transseptal interventions if required. In this case report, we describe a patient who previously underwent a valve-in-valve transcatheter mitral valve replacement and iatrogenic atrial septal defect closure with an Amplatzer device, who developed severe prosthetic mitral valve stenosis. This patient required a second percutaneous valve-in-valve in-valve procedure with a transseptal puncture in the presence of an atrial septal occluder device.

Keywords: 2D echocardiography; TEE; atrial septal defect; bioprosthetic mitral valve stenosis; doppler echocardiography; three-dimensional echocardiography.

Publication types

Case Reports

MeSH terms

Cardiac Catheterization
Heart Septal Defects, Atrial* / diagnostic imaging
Heart Septal Defects, Atrial* / surgery
Humans
Mitral Valve / diagnostic imaging
Mitral Valve / surgery
Punctures
Septal Occluder Device*