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Catheter Cardiovasc Interv. 2019 Mar 27. doi: 10.1002/ccd.28210. [Epub ahead of print]

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

Author information

1
Department of Cardiothoracic Surgery, St. Vincent's Hospital, Sydney, Australia.
2
Department of Cardiology, St. Vincent's Hospital, Sydney, Australia.

Abstract

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.

KEYWORDS:

heart failure; mitral valve disease; transcatheter valve replacement

PMID:
30919551
DOI:
10.1002/ccd.28210

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