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Redo MitraClip mitral valve repair after a late single leaflet detachment
Author(s) -
Tay Edgar L.W.,
Lim D. Scott,
Yip James
Publication year - 2014
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25337
Subject(s) - mitraclip , medicine , mitral regurgitation , mitral valve , surgery , percutaneous , cardiology , mitral valve repair
Percutaneous mitral valve repair with the MitraClip ® (Abbott, Abbott Park, IL) can reduce mitral regurgitation (MR) and improve symptoms and quality of life in patients with severe mitral regurgitation. While this therapy is safe, there have been reports of single leaflet detachment where the MitraClip remains attached only to one leaflet of the mitral valve after deployment. Most of these cases occur within the first month of the procedure but there have been reports of late detachment occurring after this period. This case report describes a patient with severe functional MR who underwent an initial successful MitraClip procedure with implantation of two clips but subsequently developed late detachment of one clip. It also discusses the challenges and feasibility of performing a repeat MitraClip procedure in these patients. © 2013 Wiley Periodicals, Inc.