Surgical revision of failed MitraClip procedure for atrial functional mitral regurgitation
| Autor: | Hideyuki Shimizu, Masahiro Yamawaki, Takahisa Miki, Yasunori Iida, Hidetoshi Oka, Takashi Hachiya, Yu Inaba |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Nephrology
Reoperation medicine.medical_specialty medicine.medical_treatment 0206 medical engineering Biomedical Engineering Medicine (miscellaneous) Surgical Revision 02 engineering and technology 030204 cardiovascular system & hematology Biomaterials 03 medical and health sciences 0302 clinical medicine Postoperative Complications Internal medicine medicine Humans cardiovascular diseases Heart Atria Aged 80 and over Heart Valve Prosthesis Implantation Mitral regurgitation business.industry MitraClip Mitral valve replacement Mitral Valve Insufficiency medicine.disease 020601 biomedical engineering Pulmonary hypertension Surgery Cardiac surgery Treatment Outcome cardiovascular system Mitral Valve Female Cardiology and Cardiovascular Medicine Mitral valve regurgitation business |
| Zdroj: | Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs. 25(2) |
| ISSN: | 1619-0904 |
| Popis: | The MitraClip system is used for patients with severe mitral regurgitation (MR) who are at high risk for open surgery. However, some patients need surgical revision for various complications. The acute outcome of MitraClip treatment for atrial functional MR (aFMR) is scarcely reported. Herein, we describe a rare case of an 80-year-old woman treated with a MitraClip for aFMR with mitral annular dilatation and failed leaflet adaptation. The patient suffered from single leaflet device attachment (SLDA) and posterior leaflet injury 3 days posttreatment. The patient successfully underwent mitral valve replacement. The postoperative pulmonary hypertension was markedly improved and the left atrial volume was reduced. A MitraClip should be carefully used for aFMR with mitral annular dilatation and failed leaflet adaptation as it may cause SLDA. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink