Ventricular Embolization of Mitral V-in-V Rescued With a Second Valve

Video supplement to “Ventricular Embolization of Mitral Valve in Valve Rescued With a Second Valve,” by Gupta, et al. (January 2023 Clinical Images).

Valve embolization is a catastrophic complication of mitral valve-in-valve and valve-in-ring procedures and occurs due to inadequate ventricular positioning, undersizing, or insufficient anchoring. Emergent cardiac surgery to retrieve the embolized valve is usually required for overt embolization. In the situation described herein, a decision was made to attempt to deploy a second valve at a proper depth to anchor the embolized valve and prevent further migration. This case highlights the technique of deploying a second valve to anchor the embolized valve if valve migration has occurred with minimal movement.

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