Transcatheter edge-to-edge repair reduced severe mitral regurgitation to trivial and resolved tricuspid regurgitation, leading to stable cardiac function at 1-year follow-up.
Transcatheter edge-to-edge repair can successfully treat severe dynamic secondary mitral and tricuspid regurgitation causing paroxysmal hypotension and hypoxemia post-myocardial infarction.
Absolute Event Rate: 0% vs 0%
Abstract A 57-year-old male patient developed paroxysmal hypotension and hypoxemia during endotracheal extubation post-acute myocardial infarction revascularization. The underlying cause was severe dynamic mitral regurgitation (MR) and secondary tricuspid regurgitation (TR). After successful extubation and weaning, the patient’s MR nearly resolved. Discharged in improved condition with guideline-directed medical therapy, the patient was soon readmitted for heart failure with pulmonary edema. The transthoracic echocardiogram confirmed recurrent, worsening MR. Transcatheter edge-to-edge repair was successfully performed, reducing the patient’s severe MR to trivial and resolving TR completely. At 1-year follow-up, the patient remained stable with improved cardiac function and no readmissions for cardiac causes.
Li et al. (Thu,) reported a other. Transcatheter edge-to-edge repair reduced severe mitral regurgitation to trivial and resolved tricuspid regurgitation, leading to stable cardiac function at 1-year follow-up.