Key result
Percutaneous mitral valve repair using two MitraClips successfully reduced severe mitral regurgitation to trivial in a 61-year-old male patient.
Case Report (n=1)
No
May reduce symptoms in degenerative MR; leaves open Mitraclip role versus surgery.
Background: Chronic mitral regurgitation can be divided into primary and secondary. The most common cause of chronic primary mitral regurgitation in developed countries is mitral valve prolapse. Many patients remain asymptomatic for quite some time, although its presence has an impact on the prognosis that is why it is mandatory to be address appropriately. In patients with chronic symptomatic, severe mitral regurgitation from degenerative cause, surgical mitral valve repair remains the gold standard. However, percutaneous mitral valve repair has been in progress in different countries and it has shown propitious result. Mitraclip restores leaflet coaptation by approximating the edges of the regurgitant mitral valve leaflets under transesophageal echocardiography and fluoroscopic guidance.
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Catalan et al. (2017) conducted a case report in Severe mitral regurgitation secondary to posterior mitral valve prolapse (n=1). MitraClip was evaluated on Reduction of mitral regurgitation. Percutaneous mitral valve repair using two MitraClips successfully reduced severe mitral regurgitation to trivial in a 61-year-old male patient.
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