Retrieval of an embolised occluder with an alligator forceps during staged paravalvular leakage closure
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A 54-year-old male with a history of three previous cardiac surgical interventions presented with progressive dyspnoea, NYHA Class IV and rapid weight gain of 15 kg during the last 10 weeks. In 2010, he underwent aortic valve replacement due to native valve endocarditis. Two years later he suffered from prosthetic valve endocarditis and a redo aortic valve replacement had to be performed. In 2017 the patient had recurrent prosthetic valve endocarditis this time involving the mitral valve. It was complicated by an aortic aneurysm with aortic valve regurgitation and severe mitral regurgitation. He underwent mitral valve replacement (Mosaic® 29 mm; Medtronic inc.) combined with re-redo aortic valve replacement (Carpentier-Edwards Perimount Magna Ease® 25 mm, Edwards Lifesciences), reconstruction of the aorto-mitral continuity and root replacement. His relevant comorbidities comprised of chronic obstructive pulmonary disease, chronic kidney disease stage 3, diabetes mellitus type 2...
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Conflict of interest
Ingo Dähnert is a proctor for Abbott Amplatzer Occlusion devices.
The author/s confirm that written consent for submission and publication of this case report including image(s) and associated text has been obtained from the patient in line with COPE guidance.
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