title: Percutaneous mitral valve repair with MitraClip for severe functional mitral regurgitation.
abstract: A 67-year-old Chinese woman with comorbidities of chronic obstructive lung disease, hypertension and prior coronary artery bypass surgery presented with severe functional mitral regurgitation (MR) and severely depressed left ventricular function. She was in New York Heart Association (NYHA) Class II-III. Due to high surgical risk, she was referred for percutaneous treatment with the MitraClip valve repair system. This procedure is typically performed via the femoral venous system and involves a transseptal puncture. A clip is delivered to grasp the regurgitant mitral valve leaflets and reduce MR. This was performed uneventfully in our patient, with reduction of MR from 4+ to 1+. She was discharged on post-procedure Day 2 and her NYHA class improved to Class I. This was the first successful MitraClip procedure performed in Asia and represents a valuable treatment option in patients with severe MR, especially those with functional MR or those at high surgical risk.
authors: Department of Cardiology, National Heart Centre, Singapore. yeo.khung.keong@nhcs.com.sg
authors: Khung Keong
authors: KK
authors: Yeo
authors: Zee Pin
authors: ZP
authors: Ding
authors: Yeow Leng
authors: YL
authors: Chua
authors: Soo Teik
authors: ST
authors: Lim
authors: Kenny Yoong Kong
authors: KY
authors: Sin
authors: Jack Wei Chieh
authors: JW
authors: Tan
authors: Paul Toon Lim
authors: PT
authors: Chiam
authors: Nian Chih
authors: NC
authors: Hwang
authors: Tian Hai
authors: TH
authors: Koh
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002309:Cardiology / Q000295:instrumentation* / Q000379:methods; D057785:Catheters; D004452:Echocardiography / Q000379:methods; D004864:Equipment and Supplies; D005260:Female; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D012306:Risk; D018608:Ultrasonography, Doppler / Q000379:methods; D018487:Ventricular Dysfunction, Left / Q000601:surgery