Loss of Leaflet Insertion After Percutaneous Mitral Valve Repair Requiring Left Ventricular Assist Device Implantation: Usefulness of 3D Multiplanar Reconstruction

J Invasive Cardiol. 2019 Sep;31(9):E274-E276.

Abstract

Three-dimensional multiplanar reconstruction was used to diagnose recurrence of mitral regurgitation after MitraClip implantation in a 71-year-old man. Subsequent mitral valve surgery in such a case is high risk, and repeat MitraClip intervention could be feasible but is technically challenging. This imaging series demonstrates that LVAD implantation may be a solution to address MitraClip failure.

Keywords: 3D-TEE; MitraClip; left ventricular assist device; percutaneous mitral repair; transesophageal echocardiography.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Cardiac Catheterization / methods*
  • Cardiac Surgical Procedures / methods*
  • Echocardiography, Three-Dimensional
  • Echocardiography, Transesophageal
  • Heart-Assist Devices*
  • Humans
  • Male
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / surgery*
  • Mitral Valve Insufficiency / diagnosis
  • Mitral Valve Insufficiency / surgery*