Percutaneous Debulking of a Large Mobile Mitral Valve Vegetation Using the Angiovac

The Angiovac aspiration system has been used successfully for the removal of intravascular material or thrombus in the right-sided heart structures, vena cava, implantable cardiac defibrillator, or other devices. For infective endocarditis, it is reserved for the patients who warrant but are not goo...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e56537
Main Authors: Bansal, Nahush, Younes, Stephanie, Maaieh, Mohammed
Format: Article
Language:English
Subjects:
Abscesses
Antibiotics
Blood clots
Calcification
Case reports
Embolization
Endocarditis
Fractures
Heart failure
Patients
Surgery
Ultrasonic imaging
Veins & arteries
Venous access
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Summary:The Angiovac aspiration system has been used successfully for the removal of intravascular material or thrombus in the right-sided heart structures, vena cava, implantable cardiac defibrillator, or other devices. For infective endocarditis, it is reserved for the patients who warrant but are not good candidates for the surgery. The evidence regarding Angiovac aspiration of the infective endocarditis of the left-sided heart valves is scarce. The risk of complications, including thrombi fragmentation leading to systemic embolization, damage to the cardiac structures and tissue, and hemodynamic instability, precludes the widespread use of this procedure, especially for the left-sided lesions. We report a case of successful removal of the mitral valve endocarditis using the Angiovac aspiration technique under the TEE guidance. A SENTINEL™ cerebral protection system was used to prevent embolus migration and a venous rather than an arterial access was used for reperfusion.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.56537