Novel Use of MitraClip for Treatment of Severe Aortic Regurgitation
A 33-year-old man with unrepaired tetralogy of Fallot, Eisenmenger syndrome, and torrential aortic regurgitation secondary to previous <i>Streptococcus mitis</i> 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<sup>2</sup>. 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<sup>2</sup>.
Authors
- David Elison (ORCID: https://orcid.org/0000-0002-9367-2724)
- Christine Chung (ORCID: https://orcid.org/0000-0002-9791-6802)
- G. Burkhard Mackensen (ORCID: https://orcid.org/0000-0001-9361-9782)
- Anna Subramaniam (ORCID: https://orcid.org/0000-0003-0077-8966)
- James M. McCabe (ORCID: https://orcid.org/0000-0003-0452-2327)
- Demetrio Sharp Dimitri
Institutions
- University of Washington (US)
Publication Details
- Journal
- Journal of the Society for Cardiovascular Angiography & Interventions
- Published
- 2025-03-05
- DOI
- https://doi.org/10.1016/j.jscai.2025.102583
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00