Key result
Minimally invasive surgery successfully repairs acute MR caused by guidewire entrapment during TAVI.
Case Report (n=1)
Mitral injury from guidewire entrapment during TAVI is a rare, life-threatening complication that can be successfully managed with early echocardiographic recognition and immediate minimally invasive surgical bailout.
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Raises awareness for rare TAVI mitral injury; leaves open incidence, prevention, and optimal bailout strategies.
CASE SUMMARY: We report a case of acute mitral regurgitation caused by a stiff guidewire entrapment in the subvalvular apparatus during transcatheter aortic valve implantation. Early detection by the multidisciplinary Heart Team enabled prompt conversion to successful minimally invasive surgery for mitral repair. TAKE-HOME MESSAGE: Mitral injury due to guidewire entrapment is a rare, life-threatening transcatheter aortic valve implantation complication. Key to success is the early recognition of pathognomonic echocardiographic features and immediate surgical bailout. Minimally invasive surgery is a safe, effective rescue strategy. Maintaining a hybrid environment with a scrubbed cardiac surgeon is essential to optimize outcomes in such high-risk, unexpected scenarios.
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Parrella et al. (2026) conducted a case report in Acute mitral regurgitation during TAVI (n=1). Minimally invasive surgery for mitral repair was evaluated on Successful mitral repair. Minimally invasive surgery successfully repaired acute mitral regurgitation caused by a rare, life-threatening guidewire entrapment during transcatheter aortic valve implantation.
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