Key result
Concomitant mitral clip removal and left ventricular assist device implantation was clinically successful in two patients with heart failure.
Why the study?
Some heart failure patients treated with MitraClip require left ventricular assist device implantation due to progressive heart failure or MitraClip-associated complications, such as detachment or mitral stenosis.
Case Report (n=2)
Concomitant MitraClip removal and LVAD implantation can be performed successfully in patients with progressive heart failure or clip-related complications.
May signal need for close surveillance post-MitraClip in advanced HF; hypothesis-generating and should not yet change practice.
Mitral regurgitation (MR) is an important consequence of heart failure (HF) patients, which increases hospitalization and mortality rates. The MitraClip procedure is increasingly preferred for HF patients with obvious MR to improve MR and related symptoms. In some cases, patients may need further intervention such as left ventricular assist device implantation with the aim of improving progressive clinical deterioration caused by the progression of HF or mitral clip associated complications (i.e., detachment or mitral stenosis). This case study summarizes our two patients who received concomitant mitral clip removal and left ventricular assist device implantation with clinically successful results.
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Kırali et al. (2020) conducted a case report in Heart failure with mitral regurgitation and prior MitraClip (n=2). Concomitant mitral clip removal and left ventricular assist device implantation was evaluated on Clinical success. Concomitant mitral clip removal and left ventricular assist device implantation was clinically successful in two patients with heart failure.
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