Mitral Regurgitation Secondary to Anterior Leaflet Rupture during Percutaneous Balloon Valvuloplasty: Case Report

Abstract

Rheumatoid heart disease and the mitral stenosis secondary to it in the long term are still important cardiovascular problems in developing countries. Percutaneous balloon mitral valvuloplasty is a valid treatment option with low complication rates for relieving the signs and symptoms of selected patients with mitral valve stenosis. In this report, we describe subacute mitral regurgitation secondary to anterior leaflet rupture following percutaneous balloon mitral valvuloplasty and the management strategy in a 54-year-old female patient. Such a complication is rare in experienced hands in the current era.

Laceration of anterior mitral leaflet postpercutaneous balloon mitral valvuloplasty for rheumatic mitral stenosis

“…Kirbas has reported Mitral regurgitation secondary to anterior leaflet rupture during percutaneous balloon valvuloplasty 14. In all, 12% patients who undergo PMBV develop significant mitral regurgitation and of these 40% need mitral valve replacement 15.…”

Tissue response to a novel bone adhesive implanted subcutaneously in rats: A histological and gene expression analysis

“…Moreover, patients who are morbidly obese, over 75 years of age, or have a history of osteoporosis have a higher risk of sternal complications, making the need for innovation in sternal closure a growing concern. [ 4–6 ]…”

“…Moreover, patients who are morbidly obese, over 75 years of age, or have a history of osteoporosis have a higher risk of sternal complications, making the need for innovation in sternal closure a growing concern. [4][5][6] Augmenting sternal closure with the use of an adhesive has been proposed to enhance the mechanical stability and strength of the wired sternum, which will provide more optimal bone fixation. [7,8] This enhanced sternal union would therefore promote bone healing and reduce micro-motion and pain.…”