Incessant non-sustained ventricular tachycardia immediately after MitraClip placement: a case report
Why the study?
MitraClip is an alternative therapy for mitral regurgitation in high-risk patients, but the procedure is associated with several complications.
Population
One 93-year-old male with severe MR and worsening heart failure
Comparison
MitraClip placement
Design
Case report
Authors
Discussion
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Member takes
Implication
Reports MitraClip complication in nonagenarian; leaves open optimal patient selection for high-risk MR.
Structured PICO
P
Population
93-year-old male with severe mitral regurgitation caused by prolapse of the mid-posterior mitral leaflet (P2) and atrial enlargement, with worsening heart failure.
I
Intervention
MitraClip placement (one clip placed in the centre of the mitral valve, P2 lateral side)
O
Outcome
Development and resolution of incessant non-sustained ventricular tachycardiasafety
MitraClip placement can cause mechanical extension of the posterior medial papillary muscle leading to incessant non-sustained ventricular tachycardia, which may resolve with appropriate volume management.
Cite This Study
Funabashi et al. (2022) studied this question.