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Annuloplasty effect of transcatheter edge-to-edge repair with MitraClip system on multiple degenerative mitral regurgitations. | LitMetric

Annuloplasty effect of transcatheter edge-to-edge repair with MitraClip system on multiple degenerative mitral regurgitations.

Eur Heart J Case Rep

Department of Cardiology, Kawasaki Saiwai Hospital, 31-27 Omiyacho, Saiwai-ku, Kawasaki-shi, Kanagawa, 212-0014 Kawasaki, Japan.

Published: August 2023

AI Article Synopsis

  • Previous studies have indicated that the MitraClip procedure can mimic a mitral annuloplasty by reducing the size of the mitral valve annulus.
  • An 87-year-old woman with serious mitral regurgitation had positive results after receiving a single MitraClip, which both shortened the mitral annulus and significantly reduced her regurgitation jets.
  • The findings suggest that even in cases with multiple regurgitation jets, deploying just one clip could effectively lessen mitral regurgitation if it achieves the annuloplasty effect.

Article Abstract

Background: Previous reports have shown a mitral annuloplasty-like effect after MitraClip, i.e. a shortening of the anterior-posterior diameter of mitral valve annulus. However, the clinical benefit of this phenomenon is unclear.

Case Summary: An 87-year-old woman with multiple degenerative mitral regurgitation (MR) jets, including a central-medial jet and a lateral jet, underwent MitraClip procedure. After a single clip implantation, anterior-posterior diameter of mitral annulus was shortened and both MR jets were significantly reduced.

Discussion: Even in the case of multiple MR jets, a single clip deployment with the MitraClip system may provide an acceptable MR reduction if the clip shows the mitral annuloplasty effect.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405351PMC
http://dx.doi.org/10.1093/ehjcr/ytad328DOI Listing

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