Key result
MitraClip followed by Enterococcus faecalis infective endocarditis and recurrent severe MR in a case report.
Case Report (n=1)
Highlights the rare but severe complication of infective endocarditis following percutaneous edge-to-edge mitral valve repair.
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Endocarditis after MitraClip warrants clinical vigilance in symptomatic patients; leaves open incidence, risk factors, and prophylaxis needs.
An 85-year-old woman presented with severe degenerative native mitral regurgitation (MR) in the setting of preserved left ventricular ejection fraction (LVEF) of 65%. Transesophageal echocardiography (TEE) demonstrated a flail P2 scallop and she subsequently underwent percutaneous mitral valve repair with MitraClip®. Four months later, she presented with fatigue, chills, and dyspnea. Blood cultures grew Enterococcus faecalis sensitive to ampicillin. Repeat TEE demonstrated a 1.2 cm × 0.6 cm mobile echodensity associated with the left atrial aspect of the MitraClip® consistent with vegetation with recurrence of severe MR.
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Weiss et al. (2017) conducted a case report in Severe degenerative native mitral regurgitation and infective endocarditis (n=1). Percutaneous mitral valve repair with MitraClip was evaluated on Development of infective endocarditis and recurrent severe mitral regurgitation. Percutaneous mitral valve repair with MitraClip was followed 4 months later by Enterococcus faecalis infective endocarditis and recurrent severe mitral regurgitation in an 85-year-old woman.
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