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

研究成果: Article査読

3 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1105-1109
ページ数5
ジャーナルInternal Medicine
57
8
DOI
出版ステータスPublished - 2018
外部発表はい

ASJC Scopus subject areas

  • 内科学

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