Case Report (n=1)
No
Open heart surgery (mitral valve repair and aortic valve replacement) can be successfully performed as a rescue treatment for failed MitraClip with residual MR and worsening heart failure in an elderly patient.
Supports feasibility of surgical rescue after failed MitraClip in elderly; leaves open broader applicability and durability.
症例は89歳，男性．88歳時に他院で器質性僧帽弁閉鎖不全症（MR）に対しMitraClipによる経皮的僧帽弁接合不全修復術を施行されたが，中等度以上のMRが残存した．以後，徐々に腎機能低下と心不全が増悪し手術目的で紹介となった．大動脈弁狭窄症も併存したので，僧帽弁形成術と大動脈弁置換術を行った．術後経過は良好で，腎機能も改善し，術後14日目に前医へ転院となった．器質性MRにMitraClipを行う際には開心術の耐術能と僧帽弁の解剖学的妥当性とを慎重に検討して治療方針を決定するべきである．また中等度以上の逆流が残存した場合の対応もあらかじめ計画しておくべきである．
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Kuwauchi et al. (2023) conducted a case report in Severe degenerative mitral regurgitation (failed MitraClip) and aortic stenosis (n=1). Mitral valve repair and aortic valve replacement was evaluated on Surgical outcome and postoperative course.
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