Successful MitraClip for severe rheumatic mitral regurgitation: a case report

BACKGROUND: Anatomical exclusion criteria for the MitraClip procedure have included rheumatic heart disease (RHD) involving the mitral valve. This was primarily because RHD is typically associated with mitral stenosis (MS). CASE SUMMARY: We report the case of an 85-year-old male who had recurrent he...

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Detalles Bibliográficos
Autores principales: Wong, Ningyan, Tan, Peilin Cheryl Marise, Ding, Zee Pin, Yeo, Khung Keong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764582/
https://www.ncbi.nlm.nih.gov/pubmed/31660512
http://dx.doi.org/10.1093/ehjcr/ytz155
Descripción
Sumario:BACKGROUND: Anatomical exclusion criteria for the MitraClip procedure have included rheumatic heart disease (RHD) involving the mitral valve. This was primarily because RHD is typically associated with mitral stenosis (MS). CASE SUMMARY: We report the case of an 85-year-old male who had recurrent heart failure admissions from severe rheumatic mitral regurgitation (MR). This was successfully treated with the MitraClip system. DISCUSSION: Our case demonstrated the possibility of rheumatic MR being treated by the MitraClip system in appropriately selected patients. Careful examination of the mechanism of MR to determine suitability for MitraClip must be done as well as exclusion of significant MS.

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