Figure 6. A 3-D view of ventricular lead (arrow) crossing
through mitral valve.
A sternotomy was performed for removal of the pacemaker leads. Despite
extraction, mitral valve regurgitation was persistent (Figure 7). The
mitral valve was thus repaired via closure of scallop via Alfieri stitch
lead. In addition, the patent foramen ovale was closed. Patient also had
CABGx1 with LIMA to LAD for an 80% stenosis of the mid LAD.
Post-operative imaging showed successful extraction of leads and repair
of the mitral valve (Figure 8).