Novel Use of MitraClip for Severe Mitral Regurgitation Due to Infective Endocarditis.
A 75-year-old man presented with infective endocarditis. Transesophageal echocardiogram (TEE) revealed mild-moderate mitral regurgitation (MR). After 4 weeks of antibiotics, he presented with New York Heart Association class III dyspnea. Repeat TEE demonstrated severe MR. After consultation with Infectious Diseases, it was determined the infection risk was low and transcatheter mitral valve repair (TMVR) was offered. Deployment of two MitraClip devices (Abbott Vascular) resulted in symptom relief. This case demonstrates a potential role of TMVR in treating acute severe MR due to endocarditis.
Mayo Clinic, 200 First St. SW, Rochester, MN 55905 USA. chandrashekar.pranav@mayo.edu.
Pranav
P
Chandrashekar
Erin A
EA
Fender
Mohammed A
MA
Al-Hijji
Krishnaswamy
K
Chandrasekaran
Charanjit S
CS
Rihal
Mackram F
MF
Eleid
Nandan S
NS
Anavekar
D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis; D004867:Equipment Design; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012720:Severity of Illness Index