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Acute reversible mitral regurgitation: a rare complication of TAVR
  1. Surya Kiran Aedma1,
  2. Pranav Mahajan1,
  3. Anant Naik2 and
  4. Naveed Adoni3
  1. 1Internal Medicine, Carle Foundation Hospital, Urbana, Illinois, USA
  2. 2Carle illinois College of Medicine, University of Illinois at Urbana Champaign, Urbana, Illinois, USA
  3. 3Interventional Cardiology, Cardiology, Carle Foundation Hospital, Urbana, Illinois, USA
  1. Correspondence to Dr Surya Kiran Aedma; aedmasuryakiran{at}gmail.com

Abstract

Transcatheter aortic valve replacement (TAVR) is becoming the standard of care in the management of severe aortic stenosis for patients in all risk stratifications. Many causes have been identified for acute drop in blood pressure during TAVR. Mitral regurgitation (MR) is a rare, but important acute intraprocedural complication that requires rapid assessment and treatment. Two important reasons for acute MR during TAVR include entanglement of the guide wire in papillary muscles and extension of the guidewire into the left atrium. Here, we report a case of acute reversible MR which was assessed using an echocardiogram and rapidly reversed by removing the stiff preshaped Safari2 wire from the left ventricle post valve deployment.

  • interventional cardiology
  • valvar diseases
  • radiology (diagnostics)

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Footnotes

  • Contributors SKA, PM, AN and NA were equally involved in managing the patient during the hospitalisation. SKA contributed in acquiring data, analysis and interpretation of data, drafting the case report and revising it critically for important intellectual content. SKA was helped by PM and AN to do all the aforementioned tasks. Final approval of this version was provided by NA. SKA takes the responsibility for the overall content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.