Key result
Transcatheter mitral valve repair with MitraClip can rarely be complicated by clip embolization to the right coronary artery.
Why the study?
Although transcatheter mitral repair with MitraClip is deemed safe for high-risk surgical populations, rare structural complications such as MitraClip embolization can occur.
Case Report
Highlights a rare but severe complication of transcatheter mitral valve repair involving clip embolization to the right coronary artery.
Requires preparedness for rare MitraClip embolization; case-level evidence leaves open optimal prevention and retrieval strategies.
Although transcatheter mitral repair with MitraClip (Abbott) has been deemed a safe procedure for high-risk surgical populations, it does carry the possibility of complications. MitraClip procedure complications can be categorized as procedural (related to the deployment itself) or device-related and can result in reintervention, extended hospital stay, and increased mortality.1 Among the rarest structural complications is MitraClip embolization, in which the entire MitraClip or a fragment embolizes into the left ventricle or out of the heart.
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Nitz et al. (2023) conducted a case report in Transcatheter mitral repair complications. MitraClip was evaluated. Transcatheter mitral valve repair with MitraClip can rarely be complicated by clip embolization to the right coronary artery.
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