Immediate single-leaflet device detachment in a patient with marfan syndrome treated with bail-out edge-to-edge mitral valve repair
Mitral transcatheter edge-to-edge repair (MTEER) is the first transcatheter technique for mitral valve repair (MVR) in patients with severe mitral regurgitation (MR) who are considered at high risk for surgical intervention. Mitral valve prolapse with subsequent MR is a common manifestation of Marfa...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Heart Views |
| Subjects: | |
| Online Access: | http://www.heartviews.org/article.asp?issn=1995-705X;year=2022;volume=23;issue=3;spage=160;epage=164;aulast=Al |
| _version_ | 1811220868025548800 |
|---|---|
| author | Khaled Al Khodari Hakam Al-Zaeem Awad Al-Qahtani Mohammed Al-Hijji |
| author_facet | Khaled Al Khodari Hakam Al-Zaeem Awad Al-Qahtani Mohammed Al-Hijji |
| author_sort | Khaled Al Khodari |
| collection | DOAJ |
| description | Mitral transcatheter edge-to-edge repair (MTEER) is the first transcatheter technique for mitral valve repair (MVR) in patients with severe mitral regurgitation (MR) who are considered at high risk for surgical intervention. Mitral valve prolapse with subsequent MR is a common manifestation of Marfan syndrome. MTEER has never been reported as a treatment option in such kind of patients. We describe the case of a 30-year-old patient who was known to have Marfan syndrome which was complicated with severe symptomatic MR. The surgical risk was high, and he preferred transcatheter intervention. MTEER was complicated with an immediate single-leaflet detachment of the first deployed MitraClip XTR. Bail-out edge-to-edge MVR with two additional MitraClip XTR was performed successfully to stabilize the detached clip. The patient's symptoms and quality of life improved significantly after 10 months of follow-up. |
| first_indexed | 2024-04-12T07:50:07Z |
| format | Article |
| id | doaj.art-98fbff89ee954cf383dc72f9aaed18c8 |
| institution | Directory Open Access Journal |
| issn | 1995-705X |
| language | English |
| last_indexed | 2024-04-12T07:50:07Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart Views |
| spelling | doaj.art-98fbff89ee954cf383dc72f9aaed18c82022-12-22T03:41:37ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2022-01-0123316016410.4103/heartviews.heartviews_1_22Immediate single-leaflet device detachment in a patient with marfan syndrome treated with bail-out edge-to-edge mitral valve repairKhaled Al KhodariHakam Al-ZaeemAwad Al-QahtaniMohammed Al-HijjiMitral transcatheter edge-to-edge repair (MTEER) is the first transcatheter technique for mitral valve repair (MVR) in patients with severe mitral regurgitation (MR) who are considered at high risk for surgical intervention. Mitral valve prolapse with subsequent MR is a common manifestation of Marfan syndrome. MTEER has never been reported as a treatment option in such kind of patients. We describe the case of a 30-year-old patient who was known to have Marfan syndrome which was complicated with severe symptomatic MR. The surgical risk was high, and he preferred transcatheter intervention. MTEER was complicated with an immediate single-leaflet detachment of the first deployed MitraClip XTR. Bail-out edge-to-edge MVR with two additional MitraClip XTR was performed successfully to stabilize the detached clip. The patient's symptoms and quality of life improved significantly after 10 months of follow-up.http://www.heartviews.org/article.asp?issn=1995-705X;year=2022;volume=23;issue=3;spage=160;epage=164;aulast=Almarfan syndromemitraclipmitral regurgitationmitral transcatheter edge-to-edge repairmitral valve repair |
| spellingShingle | Khaled Al Khodari Hakam Al-Zaeem Awad Al-Qahtani Mohammed Al-Hijji Immediate single-leaflet device detachment in a patient with marfan syndrome treated with bail-out edge-to-edge mitral valve repair Heart Views marfan syndrome mitraclip mitral regurgitation mitral transcatheter edge-to-edge repair mitral valve repair |
| title | Immediate single-leaflet device detachment in a patient with marfan syndrome treated with bail-out edge-to-edge mitral valve repair |
| title_full | Immediate single-leaflet device detachment in a patient with marfan syndrome treated with bail-out edge-to-edge mitral valve repair |
| title_fullStr | Immediate single-leaflet device detachment in a patient with marfan syndrome treated with bail-out edge-to-edge mitral valve repair |
| title_full_unstemmed | Immediate single-leaflet device detachment in a patient with marfan syndrome treated with bail-out edge-to-edge mitral valve repair |
| title_short | Immediate single-leaflet device detachment in a patient with marfan syndrome treated with bail-out edge-to-edge mitral valve repair |
| title_sort | immediate single leaflet device detachment in a patient with marfan syndrome treated with bail out edge to edge mitral valve repair |
| topic | marfan syndrome mitraclip mitral regurgitation mitral transcatheter edge-to-edge repair mitral valve repair |
| url | http://www.heartviews.org/article.asp?issn=1995-705X;year=2022;volume=23;issue=3;spage=160;epage=164;aulast=Al |
| work_keys_str_mv | AT khaledalkhodari immediatesingleleafletdevicedetachmentinapatientwithmarfansyndrometreatedwithbailoutedgetoedgemitralvalverepair AT hakamalzaeem immediatesingleleafletdevicedetachmentinapatientwithmarfansyndrometreatedwithbailoutedgetoedgemitralvalverepair AT awadalqahtani immediatesingleleafletdevicedetachmentinapatientwithmarfansyndrometreatedwithbailoutedgetoedgemitralvalverepair AT mohammedalhijji immediatesingleleafletdevicedetachmentinapatientwithmarfansyndrometreatedwithbailoutedgetoedgemitralvalverepair |