Key result
Cardioband annuloplasty successfully closes post-MitraClip pseudo-cleft and reduces recurrent mitral regurgitation.
Why the study?
Recurrent mitral regurgitation due to residual pseudo-cleft after MitraClip implantation presents a treatment challenge in high-risk patients.
Population
72-year-old woman with non-ischaemic dilated cardiomyopathy, LVEF 30%, NYHA Class III, chronic renal failure
Comparison
Percutaneous mitral annuloplasty using Cardioband device after MitraClip implantation
Design
Case report
Follow-up
2 years after MitraClip implantation
Authors
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May support percutaneous annuloplasty for post-MitraClip pseudo-cleft MR in select high-risk cases; hypothesis-generating and requires prospective validation.
Case Report (n=1)
Percutaneous mitral annuloplasty is a favorable treatment option to close pseudo-clefts and reduce mitral regurgitation severity in high-risk patients with recurrent MR after MitraClip placement.
Khalil et al. (2018) conducted a case report in Severe mitral regurgitation with residual pseudo-cleft (n=1). Percutaneous mitral annuloplasty (Cardioband) was evaluated on Reduction in mitral regurgitation severity and closure of pseudo-cleft. Percutaneous mitral annuloplasty using the Cardioband device successfully closed a residual pseudo-cleft and reduced mitral regurgitation severity in a patient with prior MitraClip implantation.
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