title: Percutaneous coronary intervention of the left main artery before MitraClip implantation.
abstract: Functional mitral regurgitation (MR) is common in patients with ischemic cardiomyopathy. We present a case of an 83-year-old patient with ischemic heart disease and ischemic cardiomyopathy, who was repeatedly admitted for pulmonary edema and underwent a percutaneous trans-septal MitraClip procedure. During coronary angiography, a severe left main stenosis was demonstrated. Treatment included both percutaneous coronary intervention and the implantation of two MitraClip devices, with very good results. We believe that this case illustrates the need for comprehensive assessment of ischemia in patients with functional MR.
authors.affiliation: Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel. Electronic address: leorperl@gmail.com.
authors.forename: Leor
authors.initials: L
authors.lastname: Perl
authors.affiliation: Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel.
authors.forename: Mordehay
authors.initials: M
authors.lastname: Vaturi
authors.affiliation: Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel.
authors.forename: Abid
authors.initials: A
authors.lastname: Assali
authors.affiliation: Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel.
authors.forename: Yaron
authors.initials: Y
authors.lastname: Shapira
authors.affiliation: Pediatric Cardiology, Schneider Children's Medical Center, Petach Tikva 49100, Israel.
authors.forename: Elchanan
authors.initials: E
authors.lastname: Bruckheimer
authors.affiliation: Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel.
authors.forename: Hana
authors.initials: H
authors.lastname: Vaknin-Assa
authors.affiliation: Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel.
authors.forename: Tuvia
authors.initials: T
authors.lastname: Ben-Gal
authors.affiliation: Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel.
authors.forename: Alik
authors.initials: A
authors.lastname: Sagie
authors.affiliation: Cardiology Department, Rabin Medical Center, Petach Tikva 49100, Israel.
authors.forename: Ran
authors.initials: R
authors.lastname: Kornowski
mesh_terms: D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D054855:Drug-Eluting Stents; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Functional mitral regurgitation; MitraClip; Percutaneous coronary intervention