Percutaneous Intervention for a Stuck Mechanical Prosthetic Valve at Mitral Position as a Bailout Procedure in a High Surgical Risk Candidate

Salman Shaikh

Grant Govt. Medical College and Sir JJ Group of Hospitals Mumbai, India.

Kalyan S. Munde *

Grant Govt. Medical College and Sir JJ Group of Hospitals Mumbai, India.

Anagh T. S.

Grant Govt. Medical College and Sir JJ Group of Hospitals Mumbai, India.

*Author to whom correspondence should be addressed.


Abstract

Mechanical heart valves are the preferred choice for younger individuals when the native valves cannot undergo repair, primarily due to their exceptional durability. It is crucial to meticulously manage the international normalized ratio (INR) within the range of 2.5 to 3.5 to ensure optimal valve function and minimise the risk of thromboembolic complications. Our case report serves to demonstrate the effectiveness of percutaneous balloon dilatation through transcatheter methods as an innovative and promising approach to release a stuck valve, representing a noteworthy addition to the spectrum of treatment options.

Keywords: Mechanical heart valves, international normalized ratio, surgical replacement, prosthetic valve thrombosis.


How to Cite

Shaikh, S., Munde, K. S., & T. S., A. (2023). Percutaneous Intervention for a Stuck Mechanical Prosthetic Valve at Mitral Position as a Bailout Procedure in a High Surgical Risk Candidate. Cardiology and Angiology: An International Journal, 12(4), 334–338. https://doi.org/10.9734/ca/2023/v12i4375


References

Kalidoss L, Nandhakumar V, Subban V, Ajit MS. Percutaneous intervention for stuck mechanical valve leaflets at mitral position. Structural Heart; 2021. DOI: 10.1080/24748706.2021.1927273

Cevik C, Izgi C, Dechyapirom W, Nugent K. Treatment of prosthetic valve thrombosis: rationale for a prospective randomized clinical trial. Journal of Heart Valve Disease. 2010;PMID: 20369498.

Chen Y, Waksman R, Satler L, Barnett C, Chen A, Rogers T. Percutaneous transcatheter release of stuck mechanical mitral valve leaflet. European Heart Journal. 2020;41(41):4072.

DOI: 10.1093/eurheartj/ehaa228. PMID: 32311024.

Nanjappa V, Raveesh H, Sadanand KS, Manjunath CN. Case report: Percutaneous intervention for a mechanical prosthetic valve thrombosis as a bailout procedure. Indian Heart Journal; 2023.

Available:10.1016/j.ihjccr.2023.05.003

Hariram V. Percutaneous management of prosthetic valve thrombosis. Indian Heart Journal; 2014.

Available:10.1016/j.ihj.2014.05.008. PMID: 25173201. PMCID: PMC4150042.

Jabbour S, Salinger M, Alexander JC. Hemodynamic stabilization of acute prosthetic valve thrombosis using percutaneous catheter manipulation. Case Reports in Catheterization and Cardiovascular Diagnosis; 1996.

Available:10.1002/(SICI)1097-0304(199611)39:3<314::AID-CCD24>3.0.CO;2-D. PMID: 8933982.