Percutaneous edge-to-edge repair in complex mitral regurgitation, is it really a contraindication?

Authors

  • Javier Herrera Flores Servicio de Cardiología. Hospital Reina Sofía. Córdoba. España. https://orcid.org/0000-0002-6807-0625
  • Alberto Piserra López-Fernández De Heredia Servicio de Cardiología. Hospital Reina Sofía. Córdoba. España. https://orcid.org/0009-0008-3796-2429
  • Dolores Mesa Rubio Servicio de Cardiología. Hospital Reina Sofía. Córdoba. España. https://orcid.org/0000-0002-1693-7784
  • Manuel Pan Álvarez- Ossorio Servicio de Cardiología. Hospital Reina Sofía. Córdoba. España.
  • Miguel Romero Moreno Servicio de Cardiología. Hospital Reina Sofía. Córdoba. España.

DOI:

https://doi.org/10.37615/retic.v6n3a12

Keywords:

mitral regurgitation, transcatheter edge to edge repair, acute heart failure

Abstract

Transcatheter edge to edge repair (TEER) represents an effective alternative to valve repair surgery in patients with severe primary mitral regurgitation in whom surgical risk is unacceptable. Adequate prior echocardiographic study is essential for the success of the therapy.  Different prognostic scores and criteria have been published to guide the patient selection. We report the case of a 77-year-old woman admitted to our hospital with acutely decompensated heart failure in whom a severe primary mitral regurgitation with a complex valvular anatomy was effectively treated by TEER.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Wang TK, Harmos S, Gamble GD, Ramanathan T, Ruygrok PN. Performance of contemporary surgical risk scores for mitral valve surgery. J Card Surg. 2017 Mar;32(3):172-176. doi: https://doi.org/10.1111/jocs.13107 DOI: https://doi.org/10.1111/jocs.13107

Raposeiras-Roubin S, Adamo M, Freixa X, Arzamendi D, Benito-González T, Montefusco A, et al. A Score to Assess Mortality After Percutaneous Mitral Valve Repair. J Am Coll Cardiol. 2022 Feb 15;79(6):562-573. doi: https://doi.org/10.1016/j.jacc.2021.11.041 DOI: https://doi.org/10.1016/j.jacc.2021.11.041

Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP, Gentile F, et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2021 Feb 2;143(5):e35-e71. doi: https://doi.org/10.1161/CIR.0000000000000932 DOI: https://doi.org/10.1161/CIR.0000000000000932

Hahn RT, Saric M, Faletra FF, Garg R, Gillam LD, Horton K, et al. Recommended Standards for the Performance of Transesophageal Echocardiographic Screening for Structural Heart Intervention: From the American Society of Echocardiography. J Am Soc Echocardiogr. 2022 Jan;35(1):1-76. doi: https://doi.org/10.1016/j.echo.2021.07.006 DOI: https://doi.org/10.1016/j.echo.2021.07.006

Vahanian A, Beyersdorf F, Praz F, Milojevic M, Baldus S, Bauersachs J, et al. ESC/EACTS Scientific Document Group. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. DOI: https://doi.org/10.1093/eurheartj/ehab626

Feb 12;43(7):561-632. doi: https://doi.org/10.1093/eurheartj/ehab395 DOI: https://doi.org/10.1093/eurheartj/ehab395

Boekstegers P, Hausleiter J, Baldus S, Von Bardeleben RS, Beucher H, Butter C, et al. Percutaneous interventional mitral regurgitation treatment using the Mitra-Clip system. Clin Res Cardiol. 2014 Feb;103(2):85-96. doi: https://doi.org/10.1007/s00392-013-0614-x DOI: https://doi.org/10.1007/s00392-013-0614-x

Chhatriwalla AK, Vemulapalli S, Szerlip M, Kodali S, Hahn RT, Saxon JT, et al. Operator Experience and Outcomes of Transcatheter Mitral Valve Repair in the United States. J Am Coll Cardiol. 2019 Dec;74(24):2955-65. doi: https://doi.org/10.1016/j.jacc.2019.09.014 DOI: https://doi.org/10.1016/j.jacc.2019.09.014

Published

2023-12-30

How to Cite

1.
Herrera Flores J, Piserra López-Fernández De Heredia A, Mesa Rubio D, Pan Álvarez- Ossorio M, Romero Moreno M. Percutaneous edge-to-edge repair in complex mitral regurgitation, is it really a contraindication?. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2023 Dec. 30 [cited 2024 Jul. 3];6(3):50-3. Available from: https://imagenretic.org/RevEcocarPract/article/view/613

Most read articles by the same author(s)