An 82-year-old patient was referred for a MitraClip (Abbott, Chicago, IL) procedure
in the context of recurrent mitral regurgitation (MR). Three years before, the patient
had undergone surgical mitral valve repair (SMVR) (neochordae on the anterior leaflet
A2, 24-mm Physio-Ring, Edwards Lifesciences, Irvine, CA) for degenerative MR (A2 prolapse
with a 40-mm annulus dilatation), tricuspid repair, and replacement of the ascending
aorta with a prosthetic tube. The final result after SMVR showed a mean gradient of
6 mm Hg and a trivial leak. Six years earlier, he underwent a first sternotomy to
replace a severely stenotic aortic valve (bioprosthesis).
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References
- Mitral valve repair with the MitraClip following surgical mitral annuloplasty failure.Ann Cardiol Angeiol. 2017; 66: 112-115
- Percutaneous edge-to-edge repair of recurrent severe mitral regurgitation after surgical mitral valve repair.J Am Coll Cardiol. 2017; 70: 504-505
- Spanish working group on the MitraClip. Usefulness of MitraClip for the Treatment of Mitral Regurgitation Secondary to Failed Surgical Annuloplasty.Rev Esp Cardiol. 2016; 69: 446-448
- Mitral valve repair with the MitraClip device after prior surgical mitral annuloplasty.Catheter Cardiovasc Interv. 2010; 76: 455-459
Article info
Publication history
Published online: September 17, 2018
Accepted:
September 7,
2018
Received:
May 10,
2018
Footnotes
See page 1688.e25 for disclosure information.
Identification
Copyright
© 2018 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
