Work

Percutaneous Aspiration of a Large Mitral Valve Vegetation With Full-Body Protection

Year: 2026

Type: article

Abstract: CASE SUMMARY: Mitral valve vegetations carry a significant risk of recurrent thromboembolism, with limited transcatheter treatment options due to concerns for embolization. We present a case of a patient with a large mitral valve vegetation who suffered an acute stroke and was deemed to be at prohibitive risk of surgical intervention. Percutaneous transseptal aspiration thrombectomy was performed using the FlowTriever system with full systemic embolic protection via the ŌNŌ transcatheter retrieval system. TAKE-HOME MESSAGES: Percutaneous transseptal aspiration thrombectomy with the FlowTriever system in combination with the ŌNŌ transcatheter retrieval system can provide full-body embolic protection and is a novel therapeutic approach for high-risk patients.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106412

Authors: Luai Madanat, Ahmad Jabri, Justin Trivax, Adam Tawney, Herman-Simon Kado

Institution: Beaumont Hospital, Royal Oak

Language: English

Topic: Infective Endocarditis Diagnosis and Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850