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Published on: October 16, 2021
Percutaneous Atrioventricular Valve Repair With MitraClip in Failed Adult Fontan Circulation for Tricuspid Atresia
Federica Barbara Beatrice Testerini1, Federica Gramegna2, Paolo Denti3
1Department of Biomedical Science, Humanitas University, Pieve Emanuele, Italy; Department of Clinical and Interventional Cardiology, IRCCS Istituto Clinico Humanitas, Rozzano, Italy.
Abstract:
A 60-year-old woman with tricuspid atresia had previously undergone palliation with a Glenn procedure and a Blalock-Taussig shunt, and finally correction with a Fontan procedure. Twenty-five years later, severe atrioventricular valve regurgitation with concomitant valvular prolapse and cleft leading to heart failure was successfully treated using 1 single MitraClip XTW, confirming its effectiveness as a lower-risk alternative to surgery. The patient showed marked improvement of heart failure-related symptoms, with residual mild to moderate regurgitation and improved liver function.
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