Key result
MitraClip implantation for severe mitral regurgitation was followed by the onset of atrial fibrillation one week post-procedure in a 78-year-old female.
Why the study?
Complications such as atrial fibrillation have been observed following the MitraClip procedure, prompting this report to highlight its incidence after implantation.
Does MitraClip implantation cause atrial fibrillation in patients with severe mitral regurgitation?
Case Report (n=1)
No
Does MitraClip implantation cause atrial fibrillation in patients with severe mitral regurgitation?
MitraClip implantation for severe mitral regurgitation may be complicated by the onset of atrial fibrillation, highlighting the need for post-procedural monitoring.
Post-MitraClip AF in this case warrants monitoring vigilance; hypothesis-generating for causal association in severe mitral regurgitation.
BACKGROUND: Mitraclip procedure is an effective and minimally invasive approach for mitral regurgitation in patients of advanced age and high risk to surgical intervention. Even though it is approved by USFDA for the treatment of high-risk patients with primary mitral regurgitation (MR), complications like atrial fibrillation have been observed. The primary objective of this case report is to bring to notice the incidence of atrial fibrillation after mitraclip implantation. CASE REPORT: A 78-year-old patient with multiple co-morbidities like systemic hypertension, peripheral neuropathy, etc. presented with severe chest pain and found to have severe MR, severe pulmonary arterial hypertension, normal left ventricular function, an ejection fraction of 68% and was planned for mitraclip implantation procedure. A week after the mitraclip procedure, the patient was presented with atrial fibrillation. DISCUSSION: Thus there is a possibility of side effects such as atrial arrhythmias, and this can also alter the mortality rates. The occurrence of atrial fibrillation should be kept in mind and necessary precautions should be taken to prevent it.
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Agarwal et al. (2021) conducted a case report in Severe mitral regurgitation (n=1). MitraClip implantation was evaluated on Onset of atrial fibrillation. MitraClip implantation for severe mitral regurgitation was followed by the onset of atrial fibrillation one week post-procedure in a 78-year-old female.
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