Evidence map›Paper›PMID 40054910›Full record

ArticleJACC. Case reports2025

Transcatheter Vacuum-Assisted Mass Extraction on a Mitral Bioprosthesis.

Gabrielle Amar, Haris Patail, Daniel Spevack, Syed Haidry, Anupma Agarwal, Steven Lansman, Suguru Ohira, David Spielvogel, Hasan Ahmad, Junichi Shimamura

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Transcatheter Retrieval of Mitral Bioprosthetic Valve Vegetation With Extended Embolic Protection: A Case Report.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Gabrielle AmarNew York Medical College, Valhalla, New York, USA.
Haris PatailDivision of Cardiology, Westchester Medical Center, Valhalla, New York, USA.
Daniel SpevackDivision of Cardiology, Westchester Medical Center, Valhalla, New York, USA.
Syed HaidryDivision of Cardiology, Westchester Medical Center, Valhalla, New York, USA.
Anupma AgarwalDivision of Pathology and Laboratory Medicine, Westchester Medical Center, Valhalla, New York, USA.
Steven LansmanNew York Medical College, Valhalla, New York, USA.
Suguru OhiraDivision of Cardiothoracic Surgery, Westchester Medical Center, Valhalla, New York, USA.
David SpielvogelDivision of Cardiothoracic Surgery, Westchester Medical Center, Valhalla, New York, USA.
Hasan AhmadDivision of Cardiology, Westchester Medical Center, Valhalla, New York, USA.
Junichi ShimamuraDivision of Cardiothoracic Surgery, Westchester Medical Center, Valhalla, New York, USA. Electronic address: junichi.shimamura@wmchealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 84-year-old woman with a history of mitral valve replacement, ascending aorta replacement, and pacemaker implantation presented with malaise and progressive shortness of breath. Transthoracic echocardiography and transesophageal echocardiography revealed a left ventricular ejection fraction of 10% to 15% and a floating mass on the mitral prosthesis. She was suspected to have bioprosthetic endocarditis, despite being afebrile and having negative blood cultures. Reoperative mitral valve replacement was considered but deemed too high risk, and a transseptal aspiration of a mass was performed to mitigate systemic embolization risk. Postprocedural transesophageal echocardiography showed no residual mass and a well-functioning bioprosthesis. The pathologic examination revealed extensive fibrin accompanied by inflammation and a fibroblastic reaction. Vacuum-assisted aspiration using the AngioVac has been well described for right-sided intracardiac structure, but left-sided mass extraction has rarely been reported. This successful case illustrates a transcatheter treatment option in an otherwise inoperable patient.

Indexed as

echocardiographyimagingmitral valve

Identifiers

PMID40054910
PMCPMC11911857

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.