Second Percutaneous Mitral Valve Implantation to Treat Acute Hemolysis Complicating Mitral Valve in Ring Implantation

Gauthier Mouillet; Romain Gallet; Julien Ternacle; Emmanuel Teiger

doi:10.1016/j.jaccas.2020.05.079

Second Percutaneous Mitral Valve Implantation to Treat Acute Hemolysis Complicating Mitral Valve in Ring Implantation

JACC Case Rep. 2020 Jul 15;2(8):1124-1128. doi: 10.1016/j.jaccas.2020.05.079. eCollection 2020 Jul.

Authors

Gauthier Mouillet¹, Romain Gallet¹, Julien Ternacle¹, Emmanuel Teiger¹

Affiliation

¹ Department of Interventional Cardiology, CHU Mondor, Créteil, France.

Abstract

We report the case of acute hemolysis after percutaneous transmitral valve implantation in a failed mitral valve repair. Transthoracic echocardiography revealed a high velocity mild mitral regurgitation that could be responsible for the hemolysis. The implantation of a second 26-mm SAPIEN 3 valve (Edwards Lifesciences, Irvine, California) allowed complete regression of the hemolysis. (Level of Difficulty: Intermediate.).

Keywords: LDH, lactate dehydrogenase; MR, mitral regurgitation; SAPIEN 3; TEE, transesophageal echocardiography; ViR, valve-in-ring; acute hemolysis; failure of mitral valve repair; transcatheter mitral valve implantation.

Publication types

Case Reports