Catheter-based intervention for symptomatic patient with severe mitral regurgitation and very poor left ventricular systolic function: Safe but no room for complacency

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Poay Huan Loh, Christos V Bourantas, Pak Hei Chan, Nikolaj Ihlemann, F Gustafsson, Andrew L Clark, Susanna Price, Carlo Di Mario, Neil Moat, Farqad Alamgir, Rodrigo Estevez-Loureiro, Lars Søndergaard, Olaf Franzen

Many patients with left ventricular systolic dysfunction have concomitant mitral regurgitation (MR). Their symptoms and prognosis worsen with increasing severity of MR. Percutaneous MitraClip(®) can be used safely to reduce the severity of MR even in patients with advanced heart failure and is associated with improved symptoms, quality of life and exercise tolerance. However, a few patients with very poor left ventricular systolic function may experience significant haemodynamic disturbance in the peri-procedural period. We present three such patients, highlighting some of the potential problems encountered and discuss their possible pathophysiological mechanisms and safety measures.

TidsskriftWorld Journal of Cardiology
Udgave nummer11
Sider (fra-til)817-21
Antal sider5
StatusUdgivet - 26 nov. 2015

ID: 162348723