Successful Percutaneous Edge-to-Edge Mitral Valve Repair in a Patient With Mediastinal Shift

Kenichi Ishizu; Akihiro Isotani; Kyohei Yamaji; Shinichi Shirai; Kenji Ando

doi:10.1016/j.jaccas.2020.06.031

Successful Percutaneous Edge-to-Edge Mitral Valve Repair in a Patient With Mediastinal Shift

JACC Case Rep. 2020 Aug 26;2(14):2138-2140. doi: 10.1016/j.jaccas.2020.06.031. eCollection 2020 Nov 18.

Authors

Kenichi Ishizu¹, Akihiro Isotani¹, Kyohei Yamaji¹, Shinichi Shirai¹, Kenji Ando¹

Affiliation

¹ Department of Cardiovascular Medicine, Kokura Memorial Hospital, Kitakyushu, Japan.

Abstract

Mediastinal shift often induces deformation of the esophagus and the cardiac chamber. We describe the case of percutaneous mitral edge-to-edge valve repair in a patient with mediastinal shift. Esophagography enabled the advancement of the transesophageal echocardiography probe without esophageal damage, and transesophageal echocardiography successfully guided the percutaneous mitral edge-to-edge valve repair procedure. (Level of Difficulty: Intermediate.).

Keywords: LA, left atrium; MR, mitral regurgitation; PMVR, percutaneous mitral edge-to-edge valve repair; TEE, transesophageal echocardiography; mediastinal shift; obsolete pulmonary tuberculosis; percutaneous mitral valve repair.