Key result
Surgical management of Cardioband device dislocation, via re-repair or valve replacement, was successful in two patients who both had an uncomplicated course.
Why the study?
Transcatheter functional mitral regurgitation treatment with the Cardioband device has gained wide acceptance, but complications are rarely reported.
Can dislocation of the Cardioband device be successfully managed by surgical approaches?
Case Report (n=2)
Can dislocation of the Cardioband device be successfully managed by surgical approaches?
Dislocation of the Cardioband device can be successfully managed by surgical approaches, including re-repair or valve replacement depending on annulus damage.
Answers are grounded in this paper and cite their sources.
Surgical management succeeded in two Cardioband dislocation cases; hypothesis-generating and should not yet change practice.
BACKGROUND: Treatment of functional mitral regurgitation using transcatheter techniques such as the Cardioband annuloplasty device (Edwards Lifesciences) has gained wide acceptance in the recent years. However, complications of such devices are rarely reported. METHODS: Here, we present a case series involving two patients with dislocation of the Cardioband device and discuss the surgical management. RESULTS: In the former the valve was re-repaired by surgical implantation of an annuloplasty ring, and in the latter the valve had to be replaced due to severe damage of the mitral valve annulus. Both patients had an uncomplicated course and were discharged to rehabilitation Center. CONCLUSION: Dislocation of the Cardioband devices can be successfully managed by surgical approaches. Depending on the extent of damage to the mitral valve annulus, the valve could be re-repaired or should be repalced.
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Awad et al. (2021) conducted a case report in Dislocation of Cardioband device after treatment for functional mitral regurgitation (n=2). Surgical management (re-repair or valve replacement) was evaluated on Clinical course and discharge. Surgical management of Cardioband device dislocation, via re-repair or valve replacement, was successful in two patients who both had an uncomplicated course.
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