case_images: PMC9503890_01
case_images: Perioperative fluoroscopy showing (A) dilation and (B) fully expanded valve.
case_images: mdcvj-18-1-1111-g1.jpg
case_images: PMC9503890_01_mdcvj-18-1-1111-g1.jpg
case_images: F1
case_images: Predilation, which was our routine practice at the time, was performed with 25 mm balloon aortic valvuloplasty (Figure 1A). The 29 mm S3 valve was overexpanded an additional 3 mL during deployment to account for the large annulus (Figure 1B).
case_images: Transesophageal echocardiography showing (A) chordal rupture and (B) severe mitral regurgitation.
case_images: mdcvj-18-1-1111-g2.jpg
case_images: PMC9503890_01_mdcvj-18-1-1111-g2.jpg
case_images: F2
case_images: Wire entrapment in the chordae was not noted before balloon dilation but was likely unrecognized (Figure 2).
case_images: Perioperative fluoroscopy showing dilated balloon slipping into the left ventricle; also at https://youtube.com/shorts/Yj-x1ei9OCw.
case_images: .jpg
case_images: PMC9503890_01_.jpg
case_images: V1
case_images: The severe mitral regurgitation was subsequently reduced to trivial with a single MitraClip NTR (Abbott) during the same procedure (Figure 3).