Successful Treatment of Mitral Regurgitation after Transapical Transcatheter Aortic Valve Implantation by Percutaneous Edge-to-edge Mitral Valve Repair (MitraClip(Ⓡ))―The First Combination Therapy Performed in Japan―

A 75-year old man with a history of inferior myocardial infarction was admitted with symptoms of progressive heart failure 3 months after undergoing transapical transcatheter aortic valve implantation (TAVI). Echocardiography revealed severe mitral regurgitation (MR) caused by posterior leaflet teth...

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Detalles Bibliográficos
Autores principales: Okada, Atsushi, Kanzaki, Hideaki, Amaki, Makoto, Kataoka, Yu, Miyamoto, Koji, Hamatani, Yasuhiro, Fujino, Masashi, Takahama, Hiroyuki, Hasegawa, Takuya, Shimahara, Yusuke, Morita, Yoshiaki, Sugano, Yasuo, Kusano, Kengo, Ohnishi, Yoshihiko, Fujita, Tomoyuki, Kobayashi, Junjiro, Anzai, Toshihisa, Yasuda, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5938500/
https://www.ncbi.nlm.nih.gov/pubmed/29269670
http://dx.doi.org/10.2169/internalmedicine.9663-17
Descripción
Sumario:A 75-year old man with a history of inferior myocardial infarction was admitted with symptoms of progressive heart failure 3 months after undergoing transapical transcatheter aortic valve implantation (TAVI). Echocardiography revealed severe mitral regurgitation (MR) caused by posterior leaflet tethering, without traumatic injury of the mitral valve or chordae. The patient was successfully treated by percutaneous edge-to-edge mitral valve repair (MitraClip(Ⓡ)). This case highlights the role of MitraClip(Ⓡ) in high-risk patients suffering from MR, and suggests that apical contractile loss or adhesion caused by apical puncture and suturing in transapical TAVI may be one of the mechanisms of worsening MR.

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