Work

Novel Use of MitraClip for Treatment of Severe Aortic Regurgitation

Year: 2025

Type: article

Abstract: A 33-year-old man with unrepaired tetralogy of Fallot, Eisenmenger syndrome, and torrential aortic regurgitation secondary to previous Streptococcus mitis endocarditis (now sterilized) presented to a local hospital with recurrent decompensated heart failure. Gated computed tomography demonstrated no calcification and an annulus area of 1328 mm 2 . The patient's anatomy included an overriding aorta and a large ventriculoseptal defect, allowing for antegrade delivery of a MitraClip NT, which was successfully implanted between the right and noncoronary cusps. Final transesophogeal echocardiography showed diminished aortic regurgitation with a reduction in 3-dimensional vena contracta area from 0.37 to 0.11 cm 2 .

Source: Journal of the Society for Cardiovascular Angiography & Interventions

DOI: 10.1016/j.jscai.2025.102583

Authors: Anna Subramaniam, Demetrio Sharp Dimitri, G. Burkhard Mackensen, David Elison, Christine J. Chung, James M. McCabe

Institution: University of Washington

Language: English

Topic: Cardiac Valve Diseases and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,400