Key result
Transcatheter edge-to-edge mitral valve repair caused torrential regurgitation from damaged leaflets, requiring mechanical circulatory support and expedited heart transplantation.
Transcatheter edge-to-edge mitral valve repair can be complicated by torrential mitral regurgitation requiring mechanical circulatory support and heart transplantation.
TEER in inotrope-dependent HF risks catastrophic leaflet damage and urgent transplant; leaves open refined selection criteria for advanced disease.
A patient with severe mitral regurgitation and chronic systolic heart failure taking inotropic support at home presents for transcatheter edge-to-edge mitral valve repair, complicated by torrential mitral regurgitation from damaged mitral leaflets requiring escalating mechanical circulatory support and ultimately expedited orthotopic heart transplantation. (Level of Difficulty: Intermediate.)
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Blossom et al. (2021) studied this question. Transcatheter edge-to-edge mitral valve repair caused torrential regurgitation from damaged leaflets, requiring mechanical circulatory support and expedited heart transplantation.
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