title: Mitral valve repair with the MitraClip device after prior surgical mitral annuloplasty.
abstract: While mitral valve repair using the MitraClip device is currently being evaluated in the EVEREST trials, surgical approaches to mitral regurgitation remain the standard of care, at least for operative candidates. Two patients in whom previous surgical annuloplasty failed to maintain MR reduction and who were treated with the MitraClip device after mitral valve repair surgery are described. Imaging and hemodynamic considerations associated with this approach are discussed.
authors.affiliation: Department of Pediatrics and Medicine, University of Virginia, Charlottesville, VA, USA. SL9PC@virginia.edu
authors.forename: D Scott
authors.initials: DS
authors.lastname: Lim
authors.forename: Binu J
authors.initials: BJ
authors.lastname: Kunjummen
authors.forename: Richard
authors.initials: R
authors.lastname: Smalling
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000295:instrumentation*; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D019918:Heart Valve Prosthesis Implantation; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D017211:Treatment Failure