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Transcatheter edge-to-edge repair of anterior mitral flail through a dehisced annuloplasty ring

Edwin C Ho1, Naveed Ahmed1, Kim A Connelly1

  • 1Division of Cardiology, St. Michael's Hospital, Toronto, Canada.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|May 26, 2017
PubMed

Insights

Mitral annuloplasty ring dehiscence can cause recurrent mitral regurgitation (MR). The MitraClip device was successfully used to treat this condition in a high-risk patient, offering a new therapeutic option.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Recurrent mitral regurgitation (MR) following mitral annuloplasty is a rare but serious complication.
  • Annuloplasty ring dehiscence can lead to significant heart failure and increased mortality.
  • Surgical re-intervention for this complication carries a high risk.

Observation:

  • A patient with prohibitive surgical risk presented with recurrent primary MR due to mitral annuloplasty ring dehiscence.
  • This case represents the initial use of the MitraClip device for this specific clinical scenario.

Findings:

  • The MitraClip procedure was successfully applied to address the recurrent MR caused by ring dehiscence.
  • This intervention effectively managed the mitral regurgitation in a patient unsuitable for conventional surgery.

Implications:

  • The MitraClip offers a potentially life-saving alternative for patients with recurrent MR from annuloplasty ring dehiscence and high surgical risk.
  • This case expands the indications for transcatheter mitral valve repair in complex cardiac conditions.
  • Further research is warranted to evaluate the long-term efficacy and safety of MitraClip in this patient population.
Keywords:
MitraClipannuloplastymitral regurgitation

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