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Percutaneous mitral valve repair assisted by a catheter‐based circulatory support device in a heart transplant patient
Author(s) -
Nersesian Gaik,
Lewin Daniel,
Schoenrath Felix,
Solowjowa Natalia,
Kukucka Marian,
Falk Volkmar,
Klein Christoph,
Potapov Evgenij,
Unbehaun Axel
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15802
Subject(s) - medicine , mitraclip , cardiogenic shock , heart transplantation , impella , circulatory system , cardiology , mitral regurgitation , ventricular assist device , percutaneous , surgery , shock (circulatory) , catheter , hemodynamics , mitral valve regurgitation , mitral valve , heart failure , myocardial infarction
Background: Systemic infections and chronic graft rejection represent common causes of mortality and morbidity in heart transplant patients. In severe cases, cardiogenic shock (CS) may occur and require hemodynamic stabilization with temporary mechanical circulatory support (tempMCS). Under these devastating circumstances, treatment of sequelae of left ventricular dysfunction, such as secondary mitral regurgitation (MR) is challenging, especially when surgical repair is deemed futile. In nontransplant patients, interventional mitral valve repair strategies such as the MitraClip system (Abbott Cardiovascular) have been used to successfully treat secondary MR and allow for weaning from tempMCS. Case summary: We report about the first patient in whom profound CS after heart transplantation was stabilized with tempMCS followed by interventional elimination of secondary MR.