Ventricular Perforation During Open Surgical Balloon Expandable Mitral Valve Replacement: A Case Report.
Publication/Presentation Date
11-15-2017
Abstract
A 79-year-old woman with severe mitral annular calcification was scheduled for mitral valve replacement. A SAPIEN 3 valve was implanted in mitral position using an open surgical approach. Immediately after cardiopulmonary bypass, bleeding from an unidentified source was encountered. Cardiopulmonary bypass was emergently resumed and a laceration of the left ventricular apex due to the valve delivery system was detected. Risk factors specific to the open surgical approach include a decompressed ventricle, decreased annulus to apical distance, and the absence of continuous fluoroscopic and echocardiographic imaging. These create a clinical scenario where risk of ventricular perforation is increased compared with traditional intravascular transcatheter valve delivery.
Volume
9
Issue
10
First Page
300
Last Page
304
ISSN
2325-7237
Published In/Presented At
Hamdeh, Y. M., Goldhammer, J. E., Ruggiero, N. J., 2nd, & Entwistle, J. W., 3rd (2017). Ventricular Perforation During Open Surgical Balloon Expandable Mitral Valve Replacement: A Case Report. A & A case reports, 9(10), 300–304. https://doi.org/10.1213/XAA.0000000000000599
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
28697033
Department(s)
Administration and Leadership
Document Type
Article