Mitral Valve Repair for Failed MitraClip: a Case Report

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  • Kuwauchi Shintaro
    Department of Cardiovascular Surgery, Kansai Medical University Hospital
  • Hosono Mitsuharu
    Department of Cardiovascular Surgery, Kansai Medical University Hospital
  • Uetsuki Tomohiko
    Department of Cardiovascular Surgery, Kansai Medical University Hospital
  • Ohno Masato
    Department of Cardiovascular Surgery, Kansai Medical University Hospital
  • Sakashita Hideki
    Department of Cardiovascular Surgery, Kansai Medical University Hospital
  • Okada Takayuki
    Department of Cardiovascular Surgery, Kansai Medical University Hospital
  • Zempo Nobuya
    Department of Cardiovascular Surgery, Kansai Medical University Hospital
  • Minato Naoki
    Department of Cardiovascular Surgery, Kansai Medical University Hospital
  • Kawazoe Kohei
    Department of Cardiovascular Surgery, Kansai Medical University Hospital

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Other Title
  • 経皮的僧帽弁接合不全修復術後の残存逆流に対する僧帽弁形成術の1例

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Abstract

<p>The patient was an 89-year-old male who underwent transcatheter edge-to-edge repair to the mitral valve using MitraClip for severe degenerative mitral regurgitation (MR) one year earlier. Although two clips were implanted, grade III/IV MR still remained. As his heart failure progressed, he was referred to us for surgery. The patient also had aortic stenosis. He underwent mitral valve repair and aortic valve replacement. The postoperative course was uneventful. He was transferred to the referring hospital on postoperative day 14. When performing MitraClip for degenerative MR, it is important to consider carefully not only the operative risk for open surgery but also the anatomical adequacy of MitraClip. When MitraClip fails to control MR, early surgical intervention should be considered.</p>

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