August 11, 2014European Heart Journal - Cardiovascular Imaging
MitraClip procedure for the treatment of a pseudo-cleft in the posterior mitral leaflet
Key result
MitraClip reduces severe MR without stenosis in a patient with a posterior leaflet pseudo-cleft.
- n=1
Population
1 74-year-old male with severe mitral regurgitation caused by a pseudo-cleft in the posterior mitral…
Design
Case_report
Follow-up
7 days
Authors
Discussion
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Member takes
Implication
Suggests MitraClip feasibility in pseudo-cleft anatomy; hypothesis-generating and requires validation in larger cohorts.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 74-year-old male with severe mitral regurgitation caused by a pseudo-cleft in the posterior mitral leaflet.
I
Intervention
MitraClip procedure (implantation of 3 clips)
O
Outcome
Reduction in mitral regurgitation grade and improvement in NYHA functional classsurrogate
MitraClip implantation can be a feasible and effective treatment option for severe mitral regurgitation caused by a pseudo-cleft in the posterior mitral leaflet in high-risk patients.
Limitations
- The MitraClip procedure should not be regarded as first-line treatment in patients with supposedly adverse anatomy
- Such procedures should be performed in experienced high-volume centres
Cite This Study
Öztürk et al. (2014) conducted a case report in Severe mitral regurgitation (n=1). MitraClip procedure was evaluated on Mitral regurgitation grade. MitraClip implantation successfully reduced severe mitral regurgitation to Grades I–II without relevant mitral stenosis in a patient with a pseudo-cleft in the posterior mitral leaflet.