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Percutaneous coronary intervention of the left main artery before MitraClip implantation

Leor Perl1, Mordehay Vaturi1, Abid Assali1

  • 1Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel.

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|July 9, 2013
PubMed

Insights

Functional mitral regurgitation (MR) is common in ischemic cardiomyopathy. Comprehensive assessment of ischemia is crucial for patients with functional MR, as demonstrated in a case successfully treated with percutaneous coronary intervention and MitraClip.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Functional mitral regurgitation (MR) frequently complicates ischemic cardiomyopathy.
  • Patients with ischemic heart disease often present with recurrent pulmonary edema.

Observation:

  • An 83-year-old patient with ischemic cardiomyopathy experienced repeated hospitalizations for pulmonary edema.
  • Coronary angiography revealed severe left main coronary artery stenosis.

Findings:

  • The patient underwent a successful percutaneous trans-septal MitraClip procedure for functional MR.
  • Percutaneous coronary intervention was performed for severe left main stenosis.
  • Combined treatment yielded excellent clinical results.

Implications:

  • This case highlights the importance of thoroughly evaluating myocardial ischemia in patients with functional MR.
  • Integrated treatment strategies involving revascularization and valvular intervention may be beneficial.
  • A multidisciplinary approach is essential for managing complex cardiac conditions.
Keywords:
Functional mitral regurgitationMitraClipPercutaneous coronary intervention

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