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CorSalud (Revista de Enfermedades Cardiovasculares)

ISSN 2078-7170 (Electronic)
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2013, Number 2

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CorSalud 2013; 5 (2)

Mitral valve trauma in an infant during aortic valvuloplasty and its surgical treatment

Marcano SLE, Ramiro NJC, Bermúdez GG, Díaz RF, Rivera LK
Full text How to cite this article

Language: Spanish
References: 5
Page: 200-203
PDF size: 423.07 Kb.


Key words:

aortic valvuloplasty, mitral valve, heart surgery.

ABSTRACT

Balloon valvuloplasty is widely accepted as the treatment of choice for congenital aortic stenosis in newborns and infants. Complications from the procedure are well known but mitral valve damage is rare. This is the case of a 7-month-old male patient with the diagnosis of coarctation of the aorta and aortic valve stenosis who underwent dilation of both lesions via catheterization. At 20 hours of the procedure a severe heart failure secondary to an injury of the anterior mitral valve was diagnosed. The patient underwent emergency surgery and a slit-like tear from the free edge to the annulus was observed, which was repaired and annuloplasty in the lateral commissure was performed. In the immediate postoperative period the patient progressed without complications and at one year follow up he shows mild valve regurgitation without evidence of recoarctation or aortic valve stenosis.


REFERENCES

  1. Kitchiner DJ, Jackson M, Walsh K. Incidence and prognosis of congenital aortic valve stenosis in Liverpool (1960-1990). Br Heart J. 1993;69(1):71-9.

  2. Sarihoglu E, Erek E, Yalçinbaş YK, Öztürk N, Sa-rioğlu A, Sarioğlu T. Mitral valve injury during aortic ballon valvuloplasty and its surgical treatment. Turkish J Thorac Cardiovasc Surg. 2005; 13: 169-70.

  3. Yamamoto Y, Shiraishi I, Yamagishi M, Hamaoka K. Mitral valve injury during ballon valvuloplasty for an infant with severe aortic stenosis: Spatial evaluation using three dimensional echocardio-graphy. Pediatr Cardiol. 2003;24(3):300-3.

  4. McCrindle BW, Blackstone EH, Williams WG, Sitti-wangkul R, Spray TL, Azakie A, et al. Are outcomes of surgical versus transcatheter ballon valvotomy equivalent in neonatal critical aortic stenosis? Circulation. 2001;104(12 Suppl 1):152-8.

  5. Brierley JJ, Reddy TD, Rigby ML, Thanopoulous V, Redington AN. Traumatic damage to the mitral valve during percutaneous valvotomy for critical aortic stenosis. Heart. 1998;79(2):200-2.




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CorSalud. 2013;5