Short Term Failure after Residual Intra Mitraclips Regurgitation Treated with Transcatheter Implantation of an Amplatzer Ventricular Septal Defect Device

Luigi Biasco, Marco Moccetti, Francesco Petracca, Elena Pasotti, Daniel Surder, Tiziano Moccetti, Pedrazzini Giovanni

Abstract


We here report the case of a patient with significant recurrent “intraclip” mitral regurgitation following the implant two Mitraclips for a functional mitral incontinence. An AMPLATZER Vascular Plug II deployed between the two clips with acute procedural success with post-procedural trans-esophageal echocardiography (TEE) showing a mild residual mitral regurgitation with trivial trans-valvuar gradients. Few months after the procedure, the patient was newly admitted for acute heart failure due to recurrent MR with a partial detachment of both clips and of the vascular plug forcing a surgical solution for the case.


References


Taramasso M, Zuber M, Gruner C, Gaemperli O, Nietlispach F, Maisano F. First-in-man report of residual "intra-clip" regurgitation between two MitraClips treated by AMPLATZER Vascular Plug II. EuroIntervention. 2014;10:746-52. DOI: 10.4244/EIJY14M12_04

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DOI: https://doi.org/10.17987/jatamis.v2i0.364

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Copyright (c) 2017 Luigi Biasco, Marco Moccetti, Francesco Petracca, Elena Pasotti, Daniel Surder, Tiziano Moccetti, Pedrazzini Giovanni

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ISSN: 2518-6140 (on-line version)