A member asked:

Is it possible for cardiac ablation cause mitral valve problems?

6 doctors weighed in across 4 answers

Yes.: Sometimes an ablation around the mitral valve annulus or mitral valve can potentially affect the hemodynamics of the mitral valve.

Answered 11/26/2013

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Dr. John Garner answered

Specializes in Cardiology

Sure: The mitral valve is a relatively tough structure (it has to be to stand up to 80+ years of brutally forceful contractions) but not tougher than some of the tools used for ablation. A few rare things can damage the valve, particularly when performing atrial fibrillation ablations. That said, these things are rare. Mitral regurgitation is almost always from another cause. Cheers!

Answered 11/8/2014

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Dr. Andrew Kaplan answered

Specializes in Cardiology

Not typically: It is unusual for valve damage to occur in the setting of catheter ablation. Damage could occur due to puncture of a valve leaflet or related to extensive ablation around the valve ring. A mapping catheter with a spiral configuration could get caught in the chordae, the strings which attach the valve leaflets to the muscle, and tear one or more of them.

Answered 3/14/2019

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Dr. John Garner answered

Specializes in Cardiology

If not careful: The mitral valve is a delicate structure in a location not far from where we perform several ablations. If radiofrequency energy is applied directly to the mitral valve, damage can result. In addition, the catheter can puncture the mitral valve causing a small to large leak. Fortunately, these complications are rare when the procedure is performed by skilled and experienced personnel.

Answered 10/9/2013

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