Young Patient with Advanced Heart Failure No Longer a Candidate for Heart Transplantation after MitraClip® Procedure

J Heart Valve Dis. 2017 Mar;26(2):234-236.

Abstract

In Europe, mitral regurgitation (MR) is the second most common form of valvular heart disease requiring surgical treatment. The case is presented of a 36-year-old woman with end-stage heart failure secondary to chemotherapy-induced cardiotoxicity, complicated by severe MR. She was listed for heart transplantation and underwent percutaneous MitraClip® implantation in order to preclude further clinical deterioration while awaiting a suitable donor. The one-year follow-up showed a strong improvement of symptoms and mostly reverse left ventricular remodelling, with consequent removal from the heart transplantation list. Video 1: Four-chamber view at baseline. Video 2: Four-chamber view at one-year follow up. Video 3: Tricuspid regurgitation and right ventricle at baseline. Video 4: Tricuspid regurgitation and right ventricle at one-year follow up.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Antibiotics, Antineoplastic / adverse effects*
  • Cardiac Catheterization / instrumentation*
  • Doxorubicin / adverse effects*
  • Echocardiography
  • Female
  • Heart Failure / chemically induced
  • Heart Failure / diagnostic imaging
  • Heart Failure / physiopathology
  • Heart Failure / therapy*
  • Heart Transplantation*
  • Humans
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / physiopathology*
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / physiopathology
  • Mitral Valve Insufficiency / therapy*
  • Recovery of Function
  • Severity of Illness Index
  • Stroke Volume
  • Treatment Outcome
  • Ventricular Function, Left
  • Waiting Lists

Substances

  • Antibiotics, Antineoplastic
  • Doxorubicin