PERCUTANEOUS MITRAL VALVE REPAIR IN ACUTE POST-INFARCTION MITRAL REGURGITATION AS A BRIDGE TO ORTHOTOPIC HEART TRANSPLANTATION: A CLINICAL CASE

Highlights

We present a clinical case demonstrating the feasibility of transcatheter mitral valve repair using the MitraClip system as an effective bridging therapy to orthotopic heart transplantation in a high-surgical-risk patient with severe functional mitral regurgitation secondary to acute myocardial infarction.

Abstract

While the impact of percutaneous mitral valve repair (MitraClip) on outcomes in chronic, severe, symptomatic mitral regurgitation has been extensively studied for many years, data on the use of this edge-to-edge percutaneous mitral valve repair in patients with severe, acute mitral regurgitation are scarce and limited to isolated reports or small registries. In some patients, the MitraClip procedure may serve as a bridge to surgical correction of mitral regurgitation, and in some cases, to orthotopic heart transplantation. In this paper, we describe a clinical case of the use of the MitraClip technology in acute post-infarction mitral regurgitation as a bridge to subsequent orthotopic heart transplantation.

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