The "Skipping Rope" Phenomenon in Transapical TAVI as a Cause of Reversible Mitral Regurgitation

Abstract

Mitral regurgitation is a complication that may occur during transcatheter aortic valve implantation (TAVI) and may require different treatments depending on the mechanism. In this report we describe for a “skipping rope sign” in transapical TAVI as a cause of severe mitral regurgitation due to extreme tethering of the anterior mitral leaflet caused by an extra-stiff guidewire entangled in its chordae tendineae during a transapical TAVI.