Percutaneous Atrioventricular Valve Repair With MitraClip in Failed Adult Fontan Circulation for Tricuspid Atresia
A 60-year-old woman with tricuspid atresia had previously undergone palliation with a Glenn procedure and a Blalock-Taussig shunt, and finally correction with a Fontan procedure. Twenty-five years later, severe atrioventricular valve regurgitation with concomitant valvular prolapse and cleft leading to heart failure was successfully treated using 1 single MitraClip XTW, confirming its effectiveness as a lower-risk alternative to surgery. The patient showed marked improvement of heart failure-related symptoms, with residual mild to moderate regurgitation and improved liver function.
Authors
- Eustachio Agricola (ORCID: https://orcid.org/0000-0002-4834-2187)
- Gianluigi Condorelli (ORCID: https://orcid.org/0000-0003-0481-6843)
- Francesco Maisano (ORCID: https://orcid.org/0000-0002-3691-1709)
- Federica Gramegna
- Paolo Denti (ORCID: https://orcid.org/0000-0001-7494-079X)
- Renato Bragato (ORCID: https://orcid.org/0000-0003-2801-5848)
- Patrizia Presbitero (ORCID: https://orcid.org/0000-0003-2080-5853)
- Federica Barbara Beatrice Testerini
Institutions
- Humanitas University (IT)
- IRCCS Ospedale San Raffaele (IT)
- Fondazione Humanitas per la Ricerca (IT)
- IRCCS Humanitas Research Hospital (IT)
Publication Details
- Journal
- JACC Case Reports
- Published
- 2025-03-12
- DOI
- https://doi.org/10.1016/j.jaccas.2025.103272
- Primary Topic
- Congenital Heart Disease Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00