Papillary muscle rupture after transcatheter aortic valve implantation

Catheter Cardiovasc Interv. 2021 Aug 1;98(2):E306-E309. doi: 10.1002/ccd.29252. Epub 2020 Sep 23.

Abstract

Catheter-induced mitral regurgitation (MR) caused by mitral papillary muscle rupture can be a fatal complication of transcatheter aortic valve implantation (TAVI). We report a case involving an 89-year-old man who presented with symptomatic severe aortic stenosis. In addition, preoperative echocardiography showed accessory mitral valve tissue. Although moderate MR developed immediately after TAVI, severe MR caused by anterolateral papillary muscle rupture occurred 3 months after TAVI. As only a few case series have been published, our case report adds to the evidence base for this treatment strategy.

Keywords: accessory mitral valve issue; mitral regurgitation; transcatheter valve implantation; transfemoral.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / diagnostic imaging
  • Aortic Valve Stenosis* / surgery
  • Cardiac Catheterization / adverse effects
  • Humans
  • Male
  • Mitral Valve Insufficiency* / diagnostic imaging
  • Mitral Valve Insufficiency* / etiology
  • Mitral Valve Insufficiency* / surgery
  • Papillary Muscles / diagnostic imaging
  • Transcatheter Aortic Valve Replacement* / adverse effects
  • Treatment Outcome