Acute Complication and Prompt Resolution During Valve in Valve Mitral Procedure

The valve in valve technique is undoubtedly a new procedure that will serve frail, elderly patients and those at high risk of mortality during the procedure. The enthusiasm to indicate the procedure for selected patients should also count on a portion of caution due to possible complications. In this case report, we identified soon after the successful release of the valve in valve and disappearance of mitral regurgitation due to insufficient valve, spontaneous contrast formation in high proportions and acute formation of a small thrombus in the left atrium. Once the problem was identified, it was treated with anticoagulation, avoiding severe embolic outcomes. We warn you to pay attention to what happened so that its identification in other procedures can avoid complications.