Surgical Removal of a Detached Mitral Valve Repair Clip to Resolve Cardiogenic Shock

Better Safe Than Sorry in the Transcatheter Mitral Era

“…In this issue of JACC: Case Reports , Wedin et al 2 elegantly describe an extremely rare case of Mitraclip embolization. The heart team discussed the patient and deemed him at high operative risk.…”

“…Wedin et al 2 concluded that there is a potentially growing ethical issue in the expanding transcatheter era, when high-risk patients may become candidates for open-heart surgery, and emergency open-heart surgery could be successfully performed in high-risk patients.…”

Expanding Transcatheter Edge-to-Edge Mitral Valve Repair Indications

“…I have carefully read the paper by Wedin et al, 1 in which the authors present a case with one of the possible complications of transcatheter edge-to-edge mitral valve (MV) repair (TEER), such as device detachment and embolization. The investigators must be congratulated for the successful way of addressing the problem.…”

Reply

“…Based on our recent case report, 1 García-Villarreal alerts us to be more cautious in the selection of patients suitable for transcatheter edge-to-edge mitral valve repair (TEER). We share this opinion and would like to add an important aspect to this discussion.…”