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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.

OriginalsprogEngelsk
TidsskriftWorld Journal of Cardiology
Vol/bind7
Tidsskriftsnummer11
Sider (fra-til)817-21
Antal sider5
ISSN1949-8462
DOI
StatusUdgivet - 26 nov. 2015

ID: 162348723