This case series describes the feasibility and imaging/hemodynamic considerations of using the MitraClip device in patients with failed prior surgical mitral annuloplasty.
May inform select procedural decisions; leaves open safety, efficacy, and role in larger cohorts.
While mitral valve repair using the MitraClip device is currently being evaluated in the EVEREST trials, surgical approaches to mitral regurgitation remain the standard of care, at least for operative candidates. Two patients in whom previous surgical annuloplasty failed to maintain MR reduction and who were treated with the MitraClip device after mitral valve repair surgery are described. Imaging and hemodynamic considerations associated with this approach are discussed.
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Lim et al. (2010) studied this question.
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