A tensed Tendyne

Daniel Grinberg, Matteo Pozzi, Chloé Bernard, Jean Francois Obadia

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

We report a case of prosthesis dislodgement after transcatheter mitral valve replacement in an 85-year-old woman with chronic ischaemic heart failure. Two weeks after an initial successful implantation, she presented with a paravalvular leak associated with left ventricular outflow tract obstruction. Tether re-tensioning was performed and resolved the situation, but resulted in a deformation of the apical attachment zone into the left ventricle. Unfortunately, the patient finally expired from severe endocarditis. Proper anchoring is the main challenge for transcatheter mitral valve replacement techniques. Dislodgement of the prosthesis after transcatheter mitral valve replacement is an infrequent complication of the TendyneVR procedure. This case emphasizes the importance of assessing the quality of the myocardium at the implantation zone of the apical pad, and of prosthesis oversizing, especially if low-profile valves are chosen. .

Original languageEnglish
Pages (from-to)651-653
Number of pages3
JournalEuropean Journal of Cardio-thoracic Surgery
Volume58
Issue number3
DOIs
StatePublished - 1 Sep 2020
Externally publishedYes

Keywords

  • Implantation
  • Mitral
  • Tendyne
  • Transcatheter valve
  • Valve

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