Successful treatment of mitral regurgitation after transapical transcatheter aortic valve implantation by percutaneous edge-to-edge mitral valve repair (Mitraclip®): The first combination therapy performed in Japan

Atsushi Okada, Hideaki Kanzaki, Makoto Amaki, Yu Kataoka, Koji Miyamoto, Yasuhiro Hamatani, Masashi Fujino, Hiroyuki Takahama, Takuya Hasegawa, Yusuke Shimahara, Yoshiaki Morita, Yasuo Sugano, Kengo Kusano, Yoshihiko Ohnishi, Tomoyuki Fujita, Junjiro Kobayashi, Toshihisa Anzai, Satoshi Yasuda

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 75-year old man with a history of inferior myocardial infarction was admitted with symptoms of progressive heart failure 3 months after undergoing transapical transcatheter aortic valve implantation (TAVI). Echocardiography revealed severe mitral regurgitation (MR) caused by posterior leaflet tethering, without traumatic injury of the mitral valve or chordae. The patient was successfully treated by percutaneous edge-to-edge mitral valve repair (MitraClip). This case highlights the role of MitraClip in high-risk patients suffering from MR, and suggests that apical contractile loss or adhesion caused by apical puncture and suturing in transapical TAVI may be one of the mechanisms of worsening MR.

Original languageEnglish
Pages (from-to)1105-1109
Number of pages5
JournalInternal Medicine
Volume57
Issue number8
DOIs
Publication statusPublished - 2018 Jan 1
Externally publishedYes

Keywords

  • MitraClip
  • Mitral regurgitation
  • Percutaneous edge-to-edge mitral valve repair
  • TAVI
  • Tethering
  • Transcatheter aortic valve implantation

ASJC Scopus subject areas

  • Internal Medicine

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  • Cite this

    Okada, A., Kanzaki, H., Amaki, M., Kataoka, Y., Miyamoto, K., Hamatani, Y., Fujino, M., Takahama, H., Hasegawa, T., Shimahara, Y., Morita, Y., Sugano, Y., Kusano, K., Ohnishi, Y., Fujita, T., Kobayashi, J., Anzai, T., & Yasuda, S. (2018). Successful treatment of mitral regurgitation after transapical transcatheter aortic valve implantation by percutaneous edge-to-edge mitral valve repair (Mitraclip®): The first combination therapy performed in Japan. Internal Medicine, 57(8), 1105-1109. https://doi.org/10.2169/internalmedicine.9663-17