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

JACC Case Reports 2026 Open access

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Authors: Luai Madanat, Ahmad Jabri, Justin E. Trivax, Adam Tawney, Herman-Simon Kado
DOI: 10.1016/j.jaccas.2025.106412
Cited by: 1

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.

Fields of Study & Subjects

Cardiac Valve Diseases and Treatments Cardiovascular and Diving-Related Complications Cardiac and Coronary Surgery Techniques

Publication details

Journal / source
JACC Case Reports
Publisher
Elsevier BV
Volume
31
Issue
10
Pages
106412–106412
Publication date
12 January 2026
Language
EN