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Unsuccessful Redo MitraClip Procedure Leads to Acute Right Ventricular Failure in a Patient With Homozygous Familial
Poovendran Saththasivam1, Elizabeth Herrera, Gerald Lawrie
1From the *University of Texas Health Science Center, Houston, Texas; †Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas; and ‡University of Kentucky College of Medicine, Lexington, Kentucky.
Abstract:
The MitraClip procedure is an emerging endovascular technique for treating mitral regurgitation and an attractive alternative for patients who are at high risk for open heart mitral valve repair or replacement. We present the case of a failed redo MitraClip procedure that led to acute right ventricular failure in a patient with homozygous familial hypercholesterolemia and a preexisting secundum atrial septal defect. We highlight the sequelae of the failed redo MitraClip procedure and the anesthetic challenges associated with the emergent redo sternotomy and cardiopulmonary bypass procedure required to replace the mitral valve and repair the tricuspid valve and atrial septal defect.
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