Iatrogenic non-coronary leaflet perforation as a complication after robotic mitral valve repair

J Cardiothorac Surg. 2024 Jun 12;19(1):329. doi: 10.1186/s13019-024-02753-4.

Abstract

Iatrogenic aortic regurgitation secondary to leaflet injury is a rare complication of mitral valve surgery. For the first time, we report a patient who had progressive aortic regurgitation due to non-coronary leaflet perforation after robotic mitral valve repair and required aortic valve repair 18 months after this initial surgery. As in our case, aortic regurgitation after mitral valve surgery may remain undiagnosed on intraoperative transesophageal echocardiography or undetected until the patient's discharge due to gradual enlargement of very small perforations over the postoperative course.

Keywords: Iatrogenic aortic regurgitation; Mitral valve repair; Non-coronary leaflet perforation; Robotic mitral surgery.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve Insufficiency* / etiology
  • Aortic Valve Insufficiency* / surgery
  • Echocardiography, Transesophageal*
  • Heart Valve Prosthesis Implantation / adverse effects
  • Humans
  • Iatrogenic Disease*
  • Mitral Valve Insufficiency* / surgery
  • Mitral Valve* / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Robotic Surgical Procedures* / adverse effects