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Mitral valve perforation after left lateral accessory pathway ablation: a case report

BACKGROUND: Radiofrequency catheter ablation is considered to be a relatively safe procedure. This is an unusual case report in which severe mitral regurgitation was occurred after left lateral accessory pathway radiofrequency catheter ablation. CASE PRESENTATION: A 15-year-old man without structura...

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Autores principales: Jabeur, Mariem, Carabelli, Adrien, Jacon, Peggy, Venier, Sandrine, Obadia, Jean-François, Defaye, Pascal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8903660/
https://www.ncbi.nlm.nih.gov/pubmed/35255938
http://dx.doi.org/10.1186/s13019-021-01710-9
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author Jabeur, Mariem
Carabelli, Adrien
Jacon, Peggy
Venier, Sandrine
Obadia, Jean-François
Defaye, Pascal
author_facet Jabeur, Mariem
Carabelli, Adrien
Jacon, Peggy
Venier, Sandrine
Obadia, Jean-François
Defaye, Pascal
author_sort Jabeur, Mariem
collection PubMed
description BACKGROUND: Radiofrequency catheter ablation is considered to be a relatively safe procedure. This is an unusual case report in which severe mitral regurgitation was occurred after left lateral accessory pathway radiofrequency catheter ablation. CASE PRESENTATION: A 15-year-old man without structural heart disease was referred for ablation of a left lateral accessory pathway. He was a rugby player who had lived with Wolff–Parkinson–White syndrome since 2017. In 2017, two failed extensive radiofrequency catheter ablations of a left lateral accessory pathway had been performed in another center. In June 2018, he underwent a third radiofrequency catheter ablation of a left lateral accessory pathway using an anterograde transseptal approach with an early recurrence one month later. A successful fourth procedure was performed in August 2018 using a retrograde aortic approach. Three months later, the patient presented to the hospital with atypical chest pain and dyspnea on exertion. Transthoracic echocardiography revealed severe mitral regurgitation caused by a perforation of the posterior leaflet. Given the symptoms and the severity of the mitral valve regurgitation, the decision was taken to proceed with surgical intervention. Posterior mitral leaflet perforation was confirmed intraoperatively. The patient underwent video-assisted mitral valve repair via Minithoracotomy approach. CONCLUSION: This case demonstrates a very rare complication of Wolff–Parkinson–White radiofrequency ablation.
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spelling pubmed-89036602022-03-18 Mitral valve perforation after left lateral accessory pathway ablation: a case report Jabeur, Mariem Carabelli, Adrien Jacon, Peggy Venier, Sandrine Obadia, Jean-François Defaye, Pascal J Cardiothorac Surg Case Report BACKGROUND: Radiofrequency catheter ablation is considered to be a relatively safe procedure. This is an unusual case report in which severe mitral regurgitation was occurred after left lateral accessory pathway radiofrequency catheter ablation. CASE PRESENTATION: A 15-year-old man without structural heart disease was referred for ablation of a left lateral accessory pathway. He was a rugby player who had lived with Wolff–Parkinson–White syndrome since 2017. In 2017, two failed extensive radiofrequency catheter ablations of a left lateral accessory pathway had been performed in another center. In June 2018, he underwent a third radiofrequency catheter ablation of a left lateral accessory pathway using an anterograde transseptal approach with an early recurrence one month later. A successful fourth procedure was performed in August 2018 using a retrograde aortic approach. Three months later, the patient presented to the hospital with atypical chest pain and dyspnea on exertion. Transthoracic echocardiography revealed severe mitral regurgitation caused by a perforation of the posterior leaflet. Given the symptoms and the severity of the mitral valve regurgitation, the decision was taken to proceed with surgical intervention. Posterior mitral leaflet perforation was confirmed intraoperatively. The patient underwent video-assisted mitral valve repair via Minithoracotomy approach. CONCLUSION: This case demonstrates a very rare complication of Wolff–Parkinson–White radiofrequency ablation. BioMed Central 2022-03-07 /pmc/articles/PMC8903660/ /pubmed/35255938 http://dx.doi.org/10.1186/s13019-021-01710-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Jabeur, Mariem
Carabelli, Adrien
Jacon, Peggy
Venier, Sandrine
Obadia, Jean-François
Defaye, Pascal
Mitral valve perforation after left lateral accessory pathway ablation: a case report
title Mitral valve perforation after left lateral accessory pathway ablation: a case report
title_full Mitral valve perforation after left lateral accessory pathway ablation: a case report
title_fullStr Mitral valve perforation after left lateral accessory pathway ablation: a case report
title_full_unstemmed Mitral valve perforation after left lateral accessory pathway ablation: a case report
title_short Mitral valve perforation after left lateral accessory pathway ablation: a case report
title_sort mitral valve perforation after left lateral accessory pathway ablation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8903660/
https://www.ncbi.nlm.nih.gov/pubmed/35255938
http://dx.doi.org/10.1186/s13019-021-01710-9
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