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Transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation

Tricuspid regurgitation in patients with left ventricular assist device (LVAD) has a significant impact on prognosis and quality of life, and its effects on liver and renal function could negatively impact planned heart transplantation. The aim of the present case is to report the feasibility and th...

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Autores principales: Andreas, Martin, Russo, Marco, Werner, Paul, Schneider, Matthias, Wittmann, Franziska, Scherzer, Sabine, Mascherbauer, Julia, Kocher, Alfred, Laufer, Guenther, Wiedemann, Dominik, Zimpfer, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261524/
https://www.ncbi.nlm.nih.gov/pubmed/32144947
http://dx.doi.org/10.1002/ehf2.12577
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author Andreas, Martin
Russo, Marco
Werner, Paul
Schneider, Matthias
Wittmann, Franziska
Scherzer, Sabine
Mascherbauer, Julia
Kocher, Alfred
Laufer, Guenther
Wiedemann, Dominik
Zimpfer, Daniel
author_facet Andreas, Martin
Russo, Marco
Werner, Paul
Schneider, Matthias
Wittmann, Franziska
Scherzer, Sabine
Mascherbauer, Julia
Kocher, Alfred
Laufer, Guenther
Wiedemann, Dominik
Zimpfer, Daniel
author_sort Andreas, Martin
collection PubMed
description Tricuspid regurgitation in patients with left ventricular assist device (LVAD) has a significant impact on prognosis and quality of life, and its effects on liver and renal function could negatively impact planned heart transplantation. The aim of the present case is to report the feasibility and the clinical impact of tricuspid transcatheter edge‐to‐edge repair in LVAD patients as adjunctive bridge to transplantation strategy. A 59‐year‐old female patient previously treated with LVAD implantation (HeartMate III) and tricuspid valve repair with 32 mm rigid ring (Medtronic Contour 3D) as bridge to transplantation developed recurrence of significant tricuspid regurgitation with right ventricular decompensation needing inotropic support. Preoperative echo showed torrential tricuspid valve regurgitation Effective regurgitant orifice area(EROA 1.4 cm(2)) with suspicious of partial detachment of the prosthetic ring. The patient was successfully treated with transcatheter edge‐to‐edge repair with the MitraClip XTR device. Tricuspid regurgitation was reduced by 50% (postoperative EROA 0.7 cm(2)). She remained stable under continuous inotropic support with no other episodes of right ventricular decompensation and was successfully transplanted 30 days after the clipping procedure. Transcatheter treatment of tricuspid regurgitation in a patient with LVAD was an effective strategy to gain time and bridge the patient to heart transplantation.
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spelling pubmed-72615242020-06-01 Transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation Andreas, Martin Russo, Marco Werner, Paul Schneider, Matthias Wittmann, Franziska Scherzer, Sabine Mascherbauer, Julia Kocher, Alfred Laufer, Guenther Wiedemann, Dominik Zimpfer, Daniel ESC Heart Fail Case Report Tricuspid regurgitation in patients with left ventricular assist device (LVAD) has a significant impact on prognosis and quality of life, and its effects on liver and renal function could negatively impact planned heart transplantation. The aim of the present case is to report the feasibility and the clinical impact of tricuspid transcatheter edge‐to‐edge repair in LVAD patients as adjunctive bridge to transplantation strategy. A 59‐year‐old female patient previously treated with LVAD implantation (HeartMate III) and tricuspid valve repair with 32 mm rigid ring (Medtronic Contour 3D) as bridge to transplantation developed recurrence of significant tricuspid regurgitation with right ventricular decompensation needing inotropic support. Preoperative echo showed torrential tricuspid valve regurgitation Effective regurgitant orifice area(EROA 1.4 cm(2)) with suspicious of partial detachment of the prosthetic ring. The patient was successfully treated with transcatheter edge‐to‐edge repair with the MitraClip XTR device. Tricuspid regurgitation was reduced by 50% (postoperative EROA 0.7 cm(2)). She remained stable under continuous inotropic support with no other episodes of right ventricular decompensation and was successfully transplanted 30 days after the clipping procedure. Transcatheter treatment of tricuspid regurgitation in a patient with LVAD was an effective strategy to gain time and bridge the patient to heart transplantation. John Wiley and Sons Inc. 2020-03-07 /pmc/articles/PMC7261524/ /pubmed/32144947 http://dx.doi.org/10.1002/ehf2.12577 Text en © 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Report
Andreas, Martin
Russo, Marco
Werner, Paul
Schneider, Matthias
Wittmann, Franziska
Scherzer, Sabine
Mascherbauer, Julia
Kocher, Alfred
Laufer, Guenther
Wiedemann, Dominik
Zimpfer, Daniel
Transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation
title Transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation
title_full Transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation
title_fullStr Transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation
title_full_unstemmed Transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation
title_short Transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation
title_sort transcatheter edge‐to‐edge tricuspid repair for recurrence of valvular regurgitation after left ventricular assist device and tricuspid ring implantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261524/
https://www.ncbi.nlm.nih.gov/pubmed/32144947
http://dx.doi.org/10.1002/ehf2.12577
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