Mitral Valve Surgery in 6 Patients after Failed MitraClip Therapy
- 1 December 2014
- journal article
- research article
- Published by Texas Heart Institute Journal in Texas Heart Institute Journal
- Vol. 41 (6), 609-612
- https://doi.org/10.14503/thij-13-3626
Abstract
The MitraClip percutaneous mitral valve repair system, developed as an option for percutaneous mitral repair, was clinically introduced in 2007. From 2010 through 2012, 6 of our patients underwent mitral valve surgery after MitraClip failure. Their mean age was 75 ± 7.7 years (range, 62–87 yr). Three had undergone cardiac surgery previously. In 5 of the 6 patients, mitral regurgitation recurred after initially successful MitraClip deployment and was the indication for surgery. The mean interval between MitraClip implantation and surgery was 106 ± 86 days (range, 0–238 d). Mitral valve repair was feasible in 3 patients; the others underwent valve replacement. All the patients underwent additional cardiac procedures, because the MitraClip worsened existing conditions. Echocardiograms revealed sufficient valvular repairs. Two patients died during hospitalization, one of cerebral infarction and the other of bowel ischemia. Mitral valve repair after failed MitraClip therapy can be complex and a surgical challenge. Careful consideration should be given to appropriate patient selection for MitraClip therapy, because the MitraClip can cause existing pathologic valvular conditions to deteriorate substantially. The interval between MitraClip failure and corrective surgery should be as short as possible. The primary indication is an issue of ongoing discussion.Keywords
This publication has 6 references indexed in Scilit:
- 4-Year Results of a Randomized Controlled Trial of Percutaneous Repair Versus Surgery for Mitral RegurgitationJournal of the American College of Cardiology, 2013
- Impact of MitraClip™ therapy on secondary mitral valve surgery in patients at high surgical riskEuropean Journal of Cardio-Thoracic Surgery, 2011
- Complex Surgical Valve Repair After Failed Percutaneous Mitral Intervention Using the MitraClip DeviceThe Annals of Thoracic Surgery, 2010
- Surgical Revision After Percutaneous Mitral Repair With the MitraClip DeviceThe Annals of Thoracic Surgery, 2010
- Late Surgical Mitral Valve Repair after Percutaneous Repair with the MitraClip ® SystemJournal of Cardiac Surgery, 2009
- Tricuspid valve surgery: a thirty-year assessment of early and late outcome☆European Journal of Cardio-Thoracic Surgery, 2008