Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation: a case report

Harish Sharma; M Adnan Nadir; Richard P Steeds; Sagar N Doshi

doi:10.1093/ehjcr/ytab433

Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation: a case report

Harish Sharma
, M Adnan Nadir
, Richard P Steeds
, Sagar N Doshi

Cardiovascular Sciences

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Abstract

BACKGROUND: Annuloplasty failure caused by ring dehiscence can lead to trans-ring and para-ring mitral regurgitation (MR). Transcatheter treatments are available for patients at prohibitive risk of surgery. In patients unsuitable for edge-to-edge repair, valve-in-ring (ViR) transcatheter mitral valve (MV) implantation has been described to treat trans-ring or para-ring jets but not both concurrently.

CASE SUMMARY: A 78-year-old male presented with severe MR due to dehiscence of a 34 mm Edwards Physio II mitral annuloplasty ring. Transoesophageal echocardiography showed two jets of regurgitation; trans-ring and para-ring. Repair was successfully undertaken with a ViR procedure (29 mm S3 Edwards Lifesciences).

DISCUSSION: Patients with failure of MV annuloplasty with trans-ring and para-ring regurgitation can be safely and effectively treated by ViR transcatheter MV implantation.

Original language	English
Article number	ytab433
Journal	European heart journal. Case reports
Volume	5
Issue number	11
Early online date	26 Oct 2021
DOIs	https://doi.org/10.1093/ehjcr/ytab433
Publication status	Published - Nov 2021

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title = "Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation: a case report",

abstract = "BACKGROUND: Annuloplasty failure caused by ring dehiscence can lead to trans-ring and para-ring mitral regurgitation (MR). Transcatheter treatments are available for patients at prohibitive risk of surgery. In patients unsuitable for edge-to-edge repair, valve-in-ring (ViR) transcatheter mitral valve (MV) implantation has been described to treat trans-ring or para-ring jets but not both concurrently.CASE SUMMARY: A 78-year-old male presented with severe MR due to dehiscence of a 34 mm Edwards Physio II mitral annuloplasty ring. Transoesophageal echocardiography showed two jets of regurgitation; trans-ring and para-ring. Repair was successfully undertaken with a ViR procedure (29 mm S3 Edwards Lifesciences).DISCUSSION: Patients with failure of MV annuloplasty with trans-ring and para-ring regurgitation can be safely and effectively treated by ViR transcatheter MV implantation.",

author = "Harish Sharma and Nadir, \{M Adnan\} and Steeds, \{Richard P\} and Doshi, \{Sagar N\}",

note = "{\textcopyright} The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.",

year = "2021",

month = nov,

doi = "10.1093/ehjcr/ytab433",

language = "English",

volume = "5",

journal = "European heart journal. Case reports",

issn = "2514-2119",

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T1 - Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation

T2 - a case report

AU - Sharma, Harish

AU - Nadir, M Adnan

AU - Steeds, Richard P

AU - Doshi, Sagar N

PY - 2021/11

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AB - BACKGROUND: Annuloplasty failure caused by ring dehiscence can lead to trans-ring and para-ring mitral regurgitation (MR). Transcatheter treatments are available for patients at prohibitive risk of surgery. In patients unsuitable for edge-to-edge repair, valve-in-ring (ViR) transcatheter mitral valve (MV) implantation has been described to treat trans-ring or para-ring jets but not both concurrently.CASE SUMMARY: A 78-year-old male presented with severe MR due to dehiscence of a 34 mm Edwards Physio II mitral annuloplasty ring. Transoesophageal echocardiography showed two jets of regurgitation; trans-ring and para-ring. Repair was successfully undertaken with a ViR procedure (29 mm S3 Edwards Lifesciences).DISCUSSION: Patients with failure of MV annuloplasty with trans-ring and para-ring regurgitation can be safely and effectively treated by ViR transcatheter MV implantation.

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DO - 10.1093/ehjcr/ytab433

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SN - 2514-2119

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M1 - ytab433

ER -

Successful mitral valve-in-ring repair of mitral annuloplasty ring dehiscence causing severe mitral regurgitation: a case report

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