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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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
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author 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
author_facet 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
author_sort Okada, Atsushi
collection PubMed
description 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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spelling pubmed-59385002018-05-08 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― 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 Intern Med Case Report 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. The Japanese Society of Internal Medicine 2017-12-21 2018-04-15 /pmc/articles/PMC5938500/ /pubmed/29269670 http://dx.doi.org/10.2169/internalmedicine.9663-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
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
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―
title 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―
title_full 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―
title_fullStr 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―
title_full_unstemmed 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―
title_short 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―
title_sort 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―
topic Case Report
url 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
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