Torrential Mitral Regurgitation After Transcatheter Edge-to-Edge Mitral Valve Repair

Jonathan Blossom; Catherine Lowe; Kellan E Ashley; Brian E Kogon; Steele B Lee; R Craig Long; Charles K Moore; Brandon W Lennep; Lampros Papadimitriou; Gabriel A Hernandez

doi:10.1016/j.jaccas.2020.11.039

Torrential Mitral Regurgitation After Transcatheter Edge-to-Edge Mitral Valve Repair

JACC Case Rep. 2021 Jan 20;3(1):69-73. doi: 10.1016/j.jaccas.2020.11.039. eCollection 2021 Jan.

Affiliations

¹ Department of Medicine, Division of Cardiovascular Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USA.
² Department of Surgery, Division of Cardiothoracic Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.

Abstract

A patient with severe mitral regurgitation and chronic systolic heart failure taking inotropic support at home presents for transcatheter edge-to-edge mitral valve repair, complicated by torrential mitral regurgitation from damaged mitral leaflets requiring escalating mechanical circulatory support and ultimately expedited orthotopic heart transplantation. (Level of Difficulty: Intermediate.).

Keywords: ECMO, extra-corporeal membranous oxygenation; IABP, intra-aortic balloon pump; LAp, left atrial pressure; LV, left ventricle; MR, mitral regurgitation; PA, pulmonary artery; PH, pulmonary hypertension; PVR, pulmonary vascular resistance; cardiac assist devices; complication; hemodynamics; pulmonary hypertension; valve repair.

Publication types

Case Reports