Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-28T01:35:04.274Z Has data issue: false hasContentIssue false
  • English
  • Français

Successful MitraClipTM implantation in a 15-year-old patient with multiple prior cardiac surgeries

Published online by Cambridge University Press:  10 September 2012

Matthias Gorenflo ,
Hugo A. Katus  and
Raffi Bekeredjian
Matthias Gorenflo
Affiliation:
Department of Paediatric and Congenital Cardiology, University of Heidelberg, Heidelberg, Germany
Hugo A. Katus
Affiliation:
Department of Cardiology, University of Heidelberg, Heidelberg, Germany
Raffi Bekeredjian*
Affiliation:
Department of Cardiology, University of Heidelberg, Heidelberg, Germany
*
Correspondence to: Dr R. Bekeredjian, MD, Department of Cardiology, University of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. Tel: +49 (0)6221 5639097; Fax: +49 (0)6221 565515; E-mail: raffi.bekeredjian@med.uni-heidelberg.de
Get access Rights & Permissions [Opens in a new window]

Abstract

Percutaneous edge-to-edge mitral valve repair using the MitraClipTM has not been used in children. The patient in this reported case was a 15-year-old male adolescent who presented postnatally with severe aortic valve stenosis and dysplasia of the mitral valve. The boy underwent surgical valvuloplasty at the age of 3 months and an aortoventriculoplasty with three re-operations. At the age of 15 years, he developed severe mitral valve regurgitation. Owing to high surgical risks, a MitraClipTM was implanted with a reduction of mitral regurgitation from grade 4+ to 2+, translating into a rapid clinical improvement.

Keywords

Mitral regurgitationmitral repairendovascular
Type
Brief Reports
Information
Cardiology in the Young , Volume 23 , Issue 4 , August 2013 , pp. 620 - 622
Copyright
Copyright © Cambridge University Press 2012 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Feldman, T, Wasserman, HS, Herrmann, HC, et al. Percutaneous mitral valve repair using the edge-to-edge technique: six-month results of the EVEREST Phase I Clinical Trial. J Am Coll Cardiol 2005; 46: 2134–2140.CrossRefGoogle ScholarPubMed
2. Feldman, T, Foster, E, Glower, DG, et al EVEREST II Investigators. Percutaneous repair or surgery for mitral regurgitation. N Engl J Med 2011; 364: 1395–1406.Google Scholar
3. Franzen, O, Baldus, S, Rudolph, V, et al. Acute outcomes of MitraClip therapy for mitral regurgitation in high-surgical-risk patients: emphasis on adverse valve morphology and severe left ventricular dysfunction. Eur Heart J 2010; 31: 1373–1381.Google Scholar
4. Pleger, ST, Mereles, D, Schulz-Schönhagen, M, et al. Acute safety and 30-day outcome after percutaneous edge-to-edge repair of mitral regurgitation in very high-risk patients. Am J Cardiol 2011; 108: 1478–1482.Google Scholar